Provider Demographics
NPI:1659388247
Name:EAST YORK EYE SURGICAL CENTER LP
Entity Type:Organization
Organization Name:EAST YORK EYE SURGICAL CENTER LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:H
Authorized Official - Last Name:BENE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-755-1993
Mailing Address - Street 1:PO BOX 3528
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-0528
Mailing Address - Country:US
Mailing Address - Phone:717-755-1993
Mailing Address - Fax:717-751-0898
Practice Address - Street 1:2300 PLEASANT VALLEY RD BLDG 3
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-9627
Practice Address - Country:US
Practice Address - Phone:717-755-1993
Practice Address - Fax:717-751-0898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical