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PENINSULA EYE CENTER PA
NPI 1164546974
Ophthalmology in Salisbury, MD

Active since March 19, 2007CLIA 21D0861528 · Waiver
101 MILFORD STREET, SALISBURY, MD 21804(410) 749-9290(410) 543-9087 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1164546974
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePENINSULA EYE CENTER PA
Location Address101 MILFORD STREETSalisbury, MD 21804
Mailing Address101 Milford StreetSalisbury, MD 21804 · (410) 749-9290 · Fax (410) 543-9087
Phone(410) 749-9290
Fax(410) 543-9087
Organization SubpartNo
Authorized OfficialGary P LuppensPresident · (410) 749-9290
Enumeration DateMarch 19, 2007
Last NPPES UpdateNovember 14, 2016
✔ NPI 1164546974 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.
101 MILFORD STREET, Salisbury, MD 21804
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Other Names 1

Former Legal Business NamePeninsula Eye Surgeons Pa Medical Center

Other Identifiers 8

Medicare ID-Type Unspecified789836DE · Group #
Medicare ID-Type UnspecifiedCE3197Railroad
OtherH788PEMD · Carefirst Blue Shield
Medicaid0000134502DE
Other20885Mamsi-united Health Care
OtherT699Carefirst Bs-federal
Medicaid915111700MD
Medicare ID-Type UnspecifiedH788MD · Group #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BlueCross BlueShield of Tennessee and more.Insurance ›

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, MD
Active · expires Jun 30, 2027
CLIA Number21D0861528
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorDr. Brandon M. Metcalf
Laboratory Phone(410) 749-9290
Laboratory LocationPeninsula Eye Center101 Milford St, Salisbury, MD 21804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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 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.