Healthcare Provider Details

I. General information

NPI: 1659388247
Provider Name (Legal Business Name): EAST YORK EYE SURGICAL CENTER LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 11/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 PLEASANT VALLEY RD BLDG 3
YORK PA
17402-9627
US

IV. Provider business mailing address

PO BOX 3528
YORK PA
17402-0528
US

V. Phone/Fax

Practice location:
  • Phone: 717-755-1993
  • Fax: 717-751-0898
Mailing address:
  • Phone: 717-755-1993
  • Fax: 717-751-0898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE H BENE
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 717-755-1993