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EASTON OPTICAL LLC NPI 1780803643


NPI Information

NPI: 1780803643
Provider Name: EASTON OPTICAL LLC

Doing Business As: EASTON EYE CARE AND OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 21D2059183

Address:
401 RACE ST
CAMBRIDGE, MD
ZIP 21613
Phone: (410) 228-0500
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EASTON OPTICAL LLC is an eyewear supplier in Cambridge, MD. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EASTON OPTICAL LLC NPI is 1780803643. The provider is registered as an organization entity type.
The provider Is Doing Business As Easton Eye Care And Optical.

The provider's business location address is:

401 RACE ST
CAMBRIDGE, MD
ZIP 21613-835
Phone: (410) 228-0500
Fax: (410) 822-2652

The provider's authorized official is Alan Scott Bishop .
The authorized official title is Owner and has the following contact phone number (410) 822-3937.

The CLIA number assigned to this NPI record is 21D2059183 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 11/2/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierMARYLANDYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1418419000MEDICAIDMARYLAND

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: 5/5/2024

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