Organization
PLYMOUTH MEETING AMBULATORY SURGICAL CENTER LLC
Active
Other names
Wills Eye Surgery Center of Plymouth Meeting
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MARIE COVELY RN (ADMINISTRATOR)
(610) 834-9700
Entity
Organization
Contact information
Practice address
625 W RIDGE PIKE BLDG B, CONSHOHOCKEN, PA 19428-1191
(610) 834-9700
(610) 834-9992
Mailing address
625 W RIDGE PIKE BLDG B, CONSHOHOCKEN, PA 19428-1191
(610) 834-9700
(610) 834-9992
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
07451500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001379000
BLUE CROSS PROVIDER NUMBE
PA
05
—
001639951003
—
PA
Enumeration date
09/20/2006
Last updated
06/08/2026
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