LIBERTY EYE SURGICAL CENTER LLC
NPI 1447218433
Clinic/Center - Ambulatory Surgical in Philadelphia, PA

Active since May 02, 2006CLIA 39D1023713 · Waiver
9122 BLUE GRASS RD, PHILADELPHIA, PA 19114(215) 673-9231(215) 673-9236 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liberty Eye Surgical Center Llc NPPES

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

LIBERTY EYE SURGICAL CENTER LLC (NPI 1447218433) is a healthcare organization registered as an ambulatory surgical in Philadelphia, Pennsylvania and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 23, 2028 and lists Dennis Slochower, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1447218433
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLIBERTY EYE SURGICAL CENTER LLC
Location Address9122 BLUE GRASS RDPhiladelphia, PA 19114-3202
Mailing Address9122 Blue Grass RdPhiladelphia, PA 19114-3202 · (215) 673-9231 · Fax (215) 673-9236
Fax(215) 673-9236
Organization SubpartNo
Authorized OfficialDennis SlochowerMedical Director · (215) 673-9231
Enumeration DateMay 2, 2006
Last NPPES UpdateDecember 9, 2010
NPI 1447218433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in PA · 17401501
9122 BLUE GRASS RD, Philadelphia, PA 19114

Other Identifiers 8

Other0001624000PA · Keystone Hmo
Medicaid35387PA
Other3562638PA · Aetna Healthcare
Medicare ID-Type Unspecified077418PA
Medicare ID-Type UnspecifiedP00086391PA
Medicaid100964206001PA
Other0001624000PA · Blue Cross Blue Shield
Medicaid30019554PA

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 39D1023713

Liberty Eye Surgical Center LLC · Philadelphia, PA
Active · expires Mar 23, 2028
CLIA Number39D1023713
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorDr. Benjamin A. Kauffman
Laboratory Phone(215) 673-9231
Laboratory LocationLiberty Eye Surgical Center LLC9122 Blue Grass Road, Philadelphia, PA 19114
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
475 services308 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
36 services30 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
35 services18 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
22 services15 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
9122 BLUE GRASS RD
PHILADELPHIA, PA 19114

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 Liberty Eye Surgical Center LLC's NPI number?

The NPI number for Liberty Eye Surgical Center LLC is 1447218433. It was assigned to this organization in the NPPES registry on May 2, 2006.

Where is Liberty Eye Surgical Center LLC located?

Liberty Eye Surgical Center LLC is located at 9122 Blue Grass Rd, Philadelphia, PA 19114. The listed phone number is (215) 673-9231.

What is Liberty Eye Surgical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Liberty Eye Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1023713) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberty Eye Surgical Center LLC was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.