PENNSYLVANIA RETINA SPECIALISTS PC
NPI 1568428126
Ophthalmology in Camp Hill, PA

Q: What is Pennsylvania Retina Specialists PC's NPI number?

The NPI number for Pennsylvania Retina Specialists PC is 1568428126. It was assigned to this organization in the NPPES registry on April 24, 2006.

Q: What is Pennsylvania Retina Specialists PC's specialty?

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

Active since April 24, 2006

220 GRANDVIEW AVE, SUITE 200, CAMP HILL, PA 17011(717) 761-8688(717) 761-5604 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Pennsylvania Retina Specialists Pc NPPES

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

PENNSYLVANIA RETINA SPECIALISTS PC (NPI 1568428126) is a healthcare organization registered as an ophthalmology in Camp Hill, Pennsylvania and active in the NPI registry since April 2006. The organization lists Susan N Martin, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1568428126

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NamePENNSYLVANIA RETINA SPECIALISTS PC

Location Address220 GRANDVIEW AVE, SUITE 200Camp Hill, PA 17011-1740

Mailing Address220 Grandview Ave, Suite 200Camp Hill, PA 17011-1740 · (717) 761-8688 · Fax (717) 761-5604

Phone(717) 761-8688

Fax(717) 761-5604

Organization SubpartNo

Authorized OfficialSusan N MartinBusiness Manager · (717) 761-8688

Enumeration DateApril 24, 2006

Last NPPES UpdateJuly 7, 2020

NPPES CertifiedJuly 7, 2020

✔ NPI 1568428126 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.

220 GRANDVIEW AVE, Camp Hill, PA 17011

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pennsylvania Retina Specialists Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StatePennsylvaniaEnrollment IDO20040621000730Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Pennsylvania Retina Specialists PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Paul Baker, M.D.

Ophthalmology

NPI 1841417441

220 GRANDVIEW AVE STE 200
Camp Hill, PA 17011

(717) 761-8688