PA EYE & EAR SURGERY CENTER, LLC
NPI 1609848472
Clinic/Center - Ambulatory Surgical in Wyomissing, PA

NPI Status: Active since February 06, 2006

Contact Information

1 GRANITE POINT DR
SUITE 200
WYOMISSING, PA
ZIP 19610
Phone: (610) 685-9204
Fax: (610) 685-5308

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 39D1010108
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-05-2027

About PA EYE & EAR SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Pa Eye & Ear Surgery Center, Llc, a provider established in Wyomissing, Pennsylvania operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1609848472 assigned on February 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Pa Eye & Ear Surgery Center, Llc. The authorized official of this NPI record is David L O'donnell M.b.a. (Administrator)

NPI
1609848472
Provider Legal Name
PENNSYLVANIA EYE & EAR SURGERY
Other Organization Name
PA EYE & EAR SURGERY CENTER, LLC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1 GRANITE POINT DR SUITE 200 WYOMISSING, PA 19610
Location Phone
(610) 685-9204
Location Fax
(610) 685-5308
Mailing Address
1 GRANITE POINT DR SUITE 200 WYOMISSING, PA 19610
Mailing Phone
(610) 685-9204
Mailing Fax
(610) 685-5308
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2006
Last Update Date
06-19-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID L O'DONNELL M.B.A.

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(610) 378-1348

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1012118620001MEDICAID (05)PA 
071325MEDICARE ID-TYPE UNSPECIFIED (04)PA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complex removal of cataract with insertion of prosthetic lens

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.

This service was performed 94 times for 68 patients

Creation of eye fluid drainage tracts in iris using a laser, per session

This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.

This service was performed 76 times for 47 patients

Destruction of leaking blood vessels of retina using laser

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

This service was performed 16 times for 13 patients

Destruction of lens tissue using laser

Destruction of lens tissue using a laser is a medical procedure aimed at treating eye conditions like cataracts. A laser is employed to break down the affected lens tissue, which is then removed. This allows the insertion of an artificial lens to improve vision.

This service was performed 27 times for 21 patients

Dilation of fluid outflow drainage within eye

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

This service was performed 125 times for 72 patients

Extensive repair of turning-outward eyelid defect

This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.

This service was performed 17 times for 11 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye

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.

This service was performed 125 times for 74 patients

Incision of eardrum with placement of eardrum tube under general anesthesia

This procedure involves making a small cut in the eardrum to drain fluid and alleviate pressure. A tiny tube is then inserted to keep the hole open and prevent further fluid buildup. General anesthesia is used to ensure patient comfort.

This service was performed 28 times for 24 patients

Laser repair to improve eye fluid flow

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

This service was performed 128 times for 78 patients

Processing, preserving and transporting corneal tissue

Processing, preserving, and transporting corneal tissue involve careful steps to ensure its viability for transplantation. The tissue is first cleaned, then preserved in a special solution. It's packed in a temperature-controlled container for safe transport to its destination.

This service was performed 28 times for 26 patients

Removal of cataract with insertion of prosthetic lens

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.

This service was performed 1,351 times for 786 patients

Removal of excessive skin and fat of upper eyelid

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

This service was performed 150 times for 75 patients

Removal of membrane of retina

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

This service was performed 16 times for 16 patients

Removal of membrane of retina with removal of internal limiting membrane of retina

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

This service was performed 35 times for 35 patients

Removal of recurring cataract in lens capsule using a laser

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

This service was performed 337 times for 259 patients

Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis

This procedure involves the removal of excess tissue, muscle, and membrane from the eyelid to correct drooping or paralysis. It helps improve vision and appearance. The operation is performed under local or general anesthesia, ensuring patient comfort throughout.

This service was performed 25 times for 14 patients

Repair of tendon of upper eyelid

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.

This service was performed 20 times for 12 patients

Shortening or advancement of upper eyelid muscle to correct drooping or paralysis

This procedure involves adjusting the muscle in your upper eyelid to correct drooping or paralysis. The muscle may be shortened or advanced to help lift the eyelid to a better position. This can improve vision and give a more alert appearance. It's typically an outpatient procedure.

This service was performed 22 times for 13 patients

Transplantation of outer layer of corneal tissue

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

This service was performed 28 times for 26 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D1010108
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 06, 2025
Certificate Expiration Date
March 05, 2027
Laboratory Director
JONATHAN D. PRIMACK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pa Eye & Ear Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609848472, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 1 + 6 + 4 + 1 + 6 + 4 + 1 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1609848472.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Optometrist
1 GRANITE POINT DR, STE 100
WYOMISSING, PA 19610
Nurse Anesthetist, Certified Registered
1 GRANITE POINT DR, SUITE 200 PENNSYLVANIA EYE AND EAR SURGERY CENTER LLC
WYOMISSING, PA 19610
Audiologist-Hearing Aid Fitter
1 GRANITE POINT DR, SUITE 300
WYOMISSING, PA 19610
Audiologist-Hearing Aid Fitter
1 GRANITE POINT DR, SUITE 300
WYOMISSING, PA 19610
Otolaryngology
1 GRANITE POINT DR, SUITE 300
WYOMISSING, PA 19610
Otolaryngology
1 GRANITE POINT DR, SUITE 300
WYOMISSING, PA 19610
Otolaryngology
1 GRANITE POINT DR, SUITE 300
WYOMISSING, PA 19610
Otolaryngology
1 GRANITE POINT DR, SUITE 300
WYOMISSING, PA 19610
Otolaryngology
1 GRANITE POINT DR, SUITE 300
WYOMISSING, PA 19610
Ophthalmology
1 GRANITE POINT DR, SUITE 100
WYOMISSING, PA 19610
Ophthalmology
1 GRANITE POINT DR, SUITE100
WYOMISSING, PA 19610
Ophthalmology
1 GRANITE POINT DR, SUITE 100
WYOMISSING, PA 19610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609848472, enumerated as an "organization" on February 06, 2006.

The provider is located at 1 GRANITE POINT DR SUITE 200 WYOMISSING, PA 19610 and the phone number is (610) 685-9204.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.