Penn Optical Co Ltd
Optometrist in Baltimore, MD. Organization (NPI-2).
NPI number1386830586
StatusActive
Last updated in NPPESSep 20, 2007
Details
- NPI
- 1386830586
- Entity type
- Organization (NPI-2)
- Legal business name
- Penn Optical Co Ltd
- Organization subpart
- No
- Enumeration date
- Sep 20, 2007
- Last updated
- Sep 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 152WC0802X | Optometrist, Corneal and Contact Management | – | – | |
| 152WP0200X | Optometrist, Pediatrics | – | – | |
| 152WS0006X | Optometrist, Sports Vision | – | – | |
| 152WX0102X | Optometrist, Occupational Vision | – | – |
Practice location
6315 York RdBaltimore, MD 21212-2359
Phone 410-321-5497 · Fax 410-377-3081
Mailing address
5006 Sinclair LnBaltimore, MD 21206-5936
Phone 410-488-6800 · Fax 410-488-4270
Authorized official
Richard Fuss
President
4104886800
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