Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kingston Ophthalmology ASC LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1245203405

Kingston Ophthalmology ASC LLC is an Ambulatory Surgical Clinic/Center in Kingston, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 Wyoming Ave
Kingston, PA 18704-3701
Phone: (570) 288-7405
Fax: (570) 714-0419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 94941500 (PA)

Record details

NPI number1245203405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Clendenin — President · (615) 665-1283
Other names Kingston Surgery Center
NPI enumeratedFebruary 8, 2006
Last updated in NPPESSeptember 7, 2023
Mailing address601 Wyoming Ave, Kingston, PA 18704-3701

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