Organization Active NPI

Premium Eye Surgeons Inc

  • Ophthalmology Physician
  • Southampton, PA
National Provider Identifier
1700113511
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PREMIUM EYE SURGEONS INC
Practice address
1018 Street Rd
Southampton, PA 18966-4221
Phone
(215) 928-3130
NPI assigned
Nov 16, 2009
Last updated
Feb 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Segund Pendse
Title
President
Phone
(215) 672-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1018 Street Rd
Southampton, PA 18966-4221

Mailing address

1018 Street Rd
Southampton, PA 18966-4221
Phone (215) 672-4300

National Provider Directory

National Provider Directory

Locations

1018 Street Rd
Ste 201
Southampton, PA 18966
Phone (215) 322-8338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1700113511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664221",
            "telephone_number": "215-672-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664221",
            "telephone_number": "215-928-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM EYE SURGEONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "PENDSE",
        "authorized_official_first_name": "SEGUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-672-4300"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.