# LIBERTY EYE SURGICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649325713
- **Authorized official:** MR. EDWARD MICHAEL QUINN (ADMINISTRATOR)
- **Authorized official phone:** (215) 673-9231

## Contact information

- **Practice address:** 9122 BLUE GRASS RD, PHILADELPHIA, PA 19114-3202
- **Practice address phone:** (215) 673-9231
- **Practice address fax:** (215) 673-9236
- **Mailing address:** 9122 BLUE GRASS RD, PHILADELPHIA, PA 19114-3202
- **Mailing address phone:** (215) 673-9231
- **Mailing address fax:** (215) 673-9236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 17401501 | PA | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 08/22/2020