Organization Active NPI

Surgical Eye Care LTD

Doing business as Siepser Laser Eye Care

  • Ophthalmology Physician
  • Wayne, PA
National Provider Identifier
1841204757
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD018505E Issued in PA
Legal business name
SURGICAL EYE CARE LTD
Doing business as
Siepser Laser Eye Care
Practice address
860 E Swedesford Rd
Suite 150
Wayne, PA 19087
Phone
(610) 265-2020
Fax
(610) 265-4054
NPI assigned
Jul 28, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Steven B Siepser, MDNPI 1891756375
Title
Medical Director Facs
Phone
(610) 265-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD018505E PA Primary

Addresses

Primary practice location

860 E Swedesford Rd
Suite 150
Wayne, PA 19087

Mailing address

860 E Swedesford Rd
Suite 150
Wayne, PA 19087
Phone (610) 265-2020

Other identifiers 1

IdentifierTypeStateIssuer
0016463010009MedicaidPA

Other names 1

  • Siepser Laser Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040102000410 PA Part B Supplier - Clinic/Group Practice 4183523772 Receives reassigned benefits from 6 practitioners
Practice locations: Plymouth Meeting, PA; Wayne, PA

National Provider Directory

National Provider Directory

Locations

633 W Germantown Pike
Plymouth Meeting, PA 19462
Phone (484) 622-7890

1111 W DeKalb Pike
Wayne, PA 19087
Phone (610) 265-2020

860 E Swedesford Rd
Wayne, PA 19087
Phone (215) 296-3333

860 E Swedesford Rd
Ste 150
Wayne, PA 19087
Phone (610) 265-2020

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1841204757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E SWEDESFORD RD",
            "address_2": "SUITE 150",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "610-265-2020",
            "fax_number": "610-265-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E SWEDESFORD RD",
            "address_2": "SUITE 150",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "610-265-2020",
            "fax_number": "610-265-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL EYE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "SIEPSER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR FACS",
        "authorized_official_telephone_number": "610-265-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD018505E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016463010009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siepser Laser Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.