Plymouth Meeting Ambulatory Surgical Center LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

07451500 Issued in PA

Legal business name

PLYMOUTH MEETING AMBULATORY SURGICAL CENTER LLC

Doing business as

Wills Eye Surgery Center of Plymouth Meeting

Practice address

625 W Ridge Pike BLDG B
Conshohocken, PA 19428-1191

Phone

(610) 834-9700

Fax

(610) 834-9992

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Donna Marie Covely, RN

Title

Administrator

Phone

(610) 834-9700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wills Eye Surgery Center of Plymouth Meeting Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Wills Eye Surgery Center at Plymoth MeetingCCN 39C0001060

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Steven B Siepser, MD

  • Ophthalmology Physician
  • Wayne, PA
  • NPI 1891756375
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1730286097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W RIDGE PIKE BLDG B",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281191",
            "telephone_number": "610-834-9700",
            "fax_number": "610-834-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W RIDGE PIKE BLDG B",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281191",
            "telephone_number": "610-834-9700",
            "fax_number": "610-834-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH MEETING AMBULATORY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "COVELY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-834-9700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "PA",
            "license": "07451500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001639951003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "0001379000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wills Eye Surgery Center of Plymouth Meeting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philadelphia Wound Care
• Hannah Pierre, RBT
• Natalie Catherine Pilhuj, CCC-SLP
• Dawn Pitts
• Randi Anne Pizzico, MA LPC
• Prosourcept LLC
• Michael Puglise, CNIM
• Xinyi Qin
• Noel E Radwanski, DVM
• Marvin Ramos

• Ophthalmologic Surgery Clinic/Center in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Ophthalmologic Surgery Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.