Vision Iconique
Optometrist in Baltimore, MD. Organization (NPI-2).
NPI number1295085264
StatusActive
Last updated in NPPESMar 29, 2013
Details
- NPI
- 1295085264
- Entity type
- Organization (NPI-2)
- Legal business name
- Vision Iconique
- Organization subpart
- No
- Enumeration date
- Sep 17, 2012
- Last updated
- Mar 29, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TA2187 | MD | Yes |
Practice location
6080 Falls RdLl1
Baltimore, MD 21209-2230
Phone 443-895-4528
Mailing address
6080 Falls RdLl1
Baltimore, MD 21209-2230
Phone 443-895-4528
Authorized official
Nadia Rutayisire
Owner/Optometrist
4438954528
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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