Provider Demographics
NPI:1740264811
Name:EYES OF YORK SURGICAL CENTER LLC
Entity type:Organization
Organization Name:EYES OF YORK SURGICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-767-2001
Mailing Address - Street 1:1880 KENNETH ROAD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404
Mailing Address - Country:US
Mailing Address - Phone:717-767-2001
Mailing Address - Fax:717-767-2832
Practice Address - Street 1:1880 KENNETH ROAD
Practice Address - Street 2:SUITE 2
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404
Practice Address - Country:US
Practice Address - Phone:717-767-2001
Practice Address - Fax:717-767-2832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1872261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical