Delaware Eye Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

FSSC-010 Issued in DE

Legal business name

DELAWARE EYE SURGERY CENTER, LLC

Practice address

18791 John J Williams Hwy Ste 2
Rehoboth Beach, DE 19971-4401

Phone

(302) 645-2300

Fax

(302) 645-7214

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

George L Neal

Title

Chief Executive Officer

Phone

(469) 214-0144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Listed as

Delaware Eye Surgery Center LLCCCN 08C0001018

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

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1770570467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18791 JOHN J WILLIAMS HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714401",
            "telephone_number": "302-645-2300",
            "fax_number": "302-645-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18791 JOHN J WILLIAMS HWY STE 2",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714401",
            "telephone_number": "302-645-2300",
            "fax_number": "302-645-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "469-214-0144"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "DE",
            "license": "FSSC-010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Dawson Jr., M.D.
• Marcy K. Deemedio, APN
• Delaware CVS Pharmacy LLC
• Delaware Eye Care Center PA
• Delaware Eye Institute, P.a.
• Delaware Medical Services
• Delaware Sleep Disorder Centers, LLC
• Delaware Sleep Disorder Centers, LLC
• Nicholas Pasquale Delcampo III, D.C.
• Aimee Lynn Dell'Arciprete, FNP-C

• Ambulatory Surgical Clinic/Center in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Ambulatory Surgical Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.