Organization Active NPI

Jacques L. Surer, Jr., D.O.,PC

  • Ophthalmology Physician
  • York, PA
National Provider Identifier
1669548905
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS002839L Issued in PA
Legal business name
JACQUES L. SURER, JR., D.O.,PC
Practice address
1750 5TH Ave
Suite 301
York, PA 17403-2607
Phone
(717) 843-7829
Fax
(717) 854-7718
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jacques L Surer Jr., D.O.
Title
President
Phone
(717) 843-7829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X OS002839L PA Primary

Addresses

Primary practice location

1750 5TH Ave
Suite 301
York, PA 17403-2607

Mailing address

1750 5TH Ave
Suite 301
York, PA 17403-2607
Phone (717) 843-7829

Other identifiers 1

IdentifierTypeStateIssuer
0591808MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1669548905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 5TH AVE",
            "address_2": "SUITE 301",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032607",
            "telephone_number": "717-843-7829",
            "fax_number": "717-854-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 5TH AVE",
            "address_2": "SUITE 301",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032607",
            "telephone_number": "717-843-7829",
            "fax_number": "717-854-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUES L. SURER, JR., D.O.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "SURER",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-843-7829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OS002839L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0591808",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.