Organization
PENINSULA EYE CENTER PA
Active
Other names
Peninsula Eye Surgeons PA Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY P LUPPENS M.D. (PRESIDENT)
(410) 749-9290
Entity
Organization
Contact information
Practice address
101 MILFORD STREET, SALISBURY, MD 21804
(410) 749-9290
(410) 543-9087
Mailing address
101 MILFORD STREET, SALISBURY, MD 21804
(410) 749-9290
(410) 543-9087
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
MD
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000134502
—
DE
01
—
20885
MAMSI-UNITED HEALTH CARE
—
05
—
915111700
—
MD
01
—
H788PE
CAREFIRST BLUE SHIELD
MD
01
—
T699
CAREFIRST BS-FEDERAL
—
Enumeration date
03/19/2007
Last updated
11/14/2016
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