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

Kingston Ophthalmology ASC LLC

Organization Anesthesiology Physician · NPI 1396919825

Kingston Ophthalmology ASC LLC is an Anesthesiology Physician in Kingston, Pennsylvania. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

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

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1396919825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Clendenin — President · (615) 665-1283
Other names Kingston Surgery Center
NPI enumeratedApril 16, 2008
Last updated in NPPESSeptember 7, 2023
Mailing address601 Wyoming Ave, Kingston, PA 18704-3701