Organization
PENINSULA EYE CENTER, P.A.
Active
Organization
PENINSULA EYE CENTER, P.A.
Active
Other names
Peninsula Eye Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY P. LUPPENS M.D. (PRESIDENT)
(410) 641-3955
Entity
Organization
Contact information
Practice address
314 FRANKLIN AVE, BERLIN, MD 21811-1215
(410) 641-3955
(410) 641-9041
Mailing address
101 MILFORD ST, SALISBURY, MD 21804-6952
(410) 749-9290
(410) 543-9087
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
D0022099
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44435
DAVIS VISION
—
01
—
H788PE
CAREFIRST BLUE SHIELD
MD
Enumeration date
03/15/2007
Last updated
08/22/2020
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