Active NPI
Jacques L. Surer, Jr., D.O.,PC
- Ophthalmology Physician
- York, PA
National Provider Identifier
1669548905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- OS002839L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0591808 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Towson, MD
- NPI 1225020159
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.