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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