PENINSULA EYE CENTER PA
NPI 1164546974
Ophthalmology in Salisbury, MD
About Peninsula Eye Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENINSULA EYE CENTER PA (NPI 1164546974), doing business as Peninsula Eye Surgeons Pa Medical Center, is a healthcare organization registered as an ophthalmology in Salisbury, Maryland and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Gary P Luppens, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 8
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peninsula Eye Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Peninsula Eye Center PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D0861528
Peninsula Eye Center · Salisbury, MDFrequently 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 Peninsula Eye Center PA's NPI number?
The NPI number for Peninsula Eye Center PA is 1164546974. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider was formerly known as Peninsula Eye Surgeons PA Medical Center.
Where is Peninsula Eye Center PA located?
Peninsula Eye Center PA is located at 101 Milford Street, Salisbury, MD 21804. The listed phone number is (410) 749-9290.
What is Peninsula Eye Center PA's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Peninsula Eye Center PA enrolled in Medicare?
Yes. Peninsula Eye Center PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peninsula Eye Center PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Peninsula Eye Center PA. 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. The largest specialties are Ophthalmology (3) and Optometry (3). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Peninsula Eye Center PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D0861528) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Peninsula Eye Center PA accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee and Highmark Blue Cross Blue Shield Delaware list Peninsula Eye Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Peninsula Eye Center PA was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Peninsula Eye Center Pa · NPI 1164546974
Ophthalmology organization in Salisbury, Maryland. Organization record, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1164546974 (Entity type: Organization)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Gary Luppens, PRESIDENT
## Practice location
- **Address:** 101 MILFORD STREET, Salisbury, MD 21804
- **Phone:** (410) 749-9290 · **Fax:** (410) 543-9087
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (3), Optometry (3); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2016
- **Other identifiers:** Medicare ID-Type Unspecified 789836 (DE); Medicare ID-Type Unspecified CE3197; Other H788PE (MD); and 5 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164546974) · Data from the CMS NPPES public registry.