SHORE REGIONAL EYE CARE, LLC
NPI 1013721562
Ophthalmology in Berlin, MD

Active since February 05, 2025
9956 N MAIN ST UNIT 4, BERLIN, MD 21811(609) 828-2651(443) 228-6040 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 23, 2025, Feb 5, 2025 (2 updates tracked since 2025).

About Shore Regional Eye Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORE REGIONAL EYE CARE, LLC (NPI 1013721562) is a healthcare organization registered as an ophthalmology in Berlin, Maryland and active in the NPI registry since February 2025. The organization lists Lisa Marie Clifford, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013721562
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSHORE REGIONAL EYE CARE, LLC
Location Address9956 N MAIN ST UNIT 4Berlin, MD 21811-1077
Mailing Address9956 N Main St Unit 4Berlin, MD 21811-1077 · (443) 242-4070 · Fax (443) 200-0234
Fax(443) 228-6040
Organization SubpartNo
Authorized OfficialLisa Marie CliffordAdministrator · (443) 242-4070
Enumeration DateFebruary 5, 2025
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1013721562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
9956 N MAIN ST UNIT 4, Berlin, MD 21811

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shore Regional Eye Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shore Regional Eye Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1578963310
9956 N MAIN ST UNIT 4
Berlin, MD 21811
(443) 242-4070
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shore Regional Eye Care, LLC's NPI number?

The NPI number for Shore Regional Eye Care, LLC is 1013721562. It was assigned to this organization in the NPPES registry on February 5, 2025.

Where is Shore Regional Eye Care, LLC located?

Shore Regional Eye Care, LLC is located at 9956 N Main St Unit 4, Berlin, MD 21811. The listed phone number is (609) 828-2651.

What is Shore Regional Eye Care, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shore Regional Eye Care, LLC enrolled in Medicare?

Yes. Shore Regional Eye Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shore Regional Eye Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Shore Regional Eye Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shore Regional Eye Care, LLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.