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

Active since February 06, 2006CLIA 39D1010108 · Waiver
1 GRANITE POINT DR, SUITE 200, WYOMISSING, PA 19610(610) 685-9204(610) 685-5308 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pa Eye & Ear Surgery Center, Llc NPPES

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

PA EYE & EAR SURGERY CENTER, LLC (NPI 1609848472) is a healthcare organization registered as an ambulatory surgical in Wyomissing, Pennsylvania and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists David L O'donnell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1609848472
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePENNSYLVANIA EYE & EAR SURGERY
Location Address1 GRANITE POINT DR, SUITE 200Wyomissing, PA 19610-1986
Mailing Address1 Granite Point Dr, Suite 200Wyomissing, PA 19610-1986 · (610) 685-9204 · Fax (610) 685-5308
Fax(610) 685-5308
Organization SubpartNo
Authorized OfficialDavid L O'donnellAdministrator · (610) 378-1348
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJune 19, 2008
NPI 1609848472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1 GRANITE POINT DR, Wyomissing, PA 19610

Other Names 1

Other NamePa Eye & Ear Surgery Center, Llc

Other Identifiers 2

Medicaid1012118620001PA
Medicare ID-Type Unspecified071325PA

Accepted 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 39D1010108

PA Eye & Ear Surgery Center LLC · Wyomissing, PA
Active · expires Mar 5, 2027
CLIA Number39D1010108
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorJonathan D. Primack
Laboratory Phone(610) 685-9204
Laboratory LocationPA Eye & Ear Surgery Center LLC1 Granite Point Drive Suite 200, Wyomissing, PA 19610
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 20

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.
1,315 services783 patients
Removal of recurring cataract in lens capsule using a laser 66821
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.
322 services238 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.
173 services102 patients
Dilation of fluid outflow drainage within eye 66174
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.
158 services97 patients
Removal of excessive skin and fat of upper eyelid 15823
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.
154 services79 patients
Laser repair to improve eye fluid flow 65855
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.
127 services81 patients

Other Providers at the Same Location NPPES 12

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

Otolaryngology
1 GRANITE POINT DR, SUITE 300
WYOMISSING, PA 19610
Ophthalmology
1 GRANITE POINT DR, SUITE 100
WYOMISSING, PA 19610
Audiologist-Hearing Aid Fitter
1 GRANITE POINT DR, SUITE 300
WYOMISSING, PA 19610
Ophthalmology
1 GRANITE POINT DR, SUITE100
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
Optometrist
1 GRANITE POINT DR, STE 100
WYOMISSING, PA 19610
Ophthalmology
1 GRANITE POINT DR, SUITE 100
WYOMISSING, PA 19610

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 Pennsylvania Eye & Ear Surgery's NPI number?

The NPI number for Pennsylvania Eye & Ear Surgery is 1609848472. It was assigned to this organization in the NPPES registry on February 6, 2006. The provider is also known as PA Eye & Ear Surgery Center, LLC.

Where is Pennsylvania Eye & Ear Surgery located?

Pennsylvania Eye & Ear Surgery is located at 1 Granite Point Dr Suite 200, Wyomissing, PA 19610. The listed phone number is (610) 685-9204.

What is Pennsylvania Eye & Ear Surgery's specialty?

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

Does Pennsylvania Eye & Ear Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1010108) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pennsylvania Eye & Ear Surgery accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Pennsylvania Eye & Ear Surgery 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 Pennsylvania Eye & Ear Surgery was last updated on June 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.