| Cataract And Laser Center Llc | |
|
4102 Ogletown Stanton Rd Suite 1 Newark DE 19713-4169 | |
| (302) 454-8802 | |
| (302) 454-8801 |
| Full Name | Cataract And Laser Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4102 Ogletown Stanton Rd, Newark, Delaware |
| Authorized Official Name and Position | Alexandra Luzetsky (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 3024548800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cataract And Laser Center Llc 4102 Ogletown Stanton Rd Ste 1 Newark DE 19713-4169 Ph: (302) 454-8800 | Cataract And Laser Center Llc 4102 Ogletown Stanton Rd Suite 1 Newark DE 19713-4169 Ph: (302) 454-8802 |
| NPI Number | 1821010638 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 07/08/2020 |
| Medicare PECOS PAC ID | 7618017013 |
|---|---|
| Medicare Enrollment ID | O20091216000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821010638 | NPI | - | NPPES |
| 1770A6 | Other | DE | BLUE CROSS BLUE SHIELD DE |
| 0002103000 | Other | IND BS | |
| 200079341 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | FSSC004 (Delaware) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | FSSC004A (Delaware) | Primary |
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