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OPTICAL SHOP NPI 1154479657


NPI Information

NPI: 1154479657
Provider Name: OPTICAL SHOP
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
8630 FENTON ST
SUITE 123
SILVER SPRING, MD
ZIP 20910
Phone: (301) 589-7732
Get Directions

OPTICAL SHOP is an optician technician technologist in Silver Spring, MD. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. OPTICAL SHOP NPI is 1154479657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8630 FENTON ST
SUITE 123
SILVER SPRING, MD
ZIP 20910-806
Phone: (301) 589-7732
Fax: (301) 589-5245

The provider's authorized official is Elizabeth Bonny .
The authorized official title is Office Manager and has the following contact phone number (301) 588-1177.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOpticianYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14336470001MEDICARE NSCMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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