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LIFEBRIDGE INVESTMENTS NPI 1174856645


NPI Information

NPI: 1174856645
Provider Name: LIFEBRIDGE INVESTMENTS

Doing Business As: LIFEBRIDGE COMMUNITY PRACTICES DBA CLINICAL ASSOCIATES SPECIALISTS

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 21D2278829

Address:
750 MAIN ST
SUITE 301A
REISTERSTOWN, MD
ZIP 21136
Phone: (410) 526-3060
Get Directions

LIFEBRIDGE INVESTMENTS is an optometrist in Reisterstown, MD. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. LIFEBRIDGE INVESTMENTS NPI is 1174856645. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lifebridge Community Practices Dba Clinical Associates Specialists.

The provider's business location address is:

750 MAIN ST
SUITE 301A
REISTERSTOWN, MD
ZIP 21136-515
Phone: (410) 526-3060
Fax: (410) 526-3091

The provider's authorized official is Suzanne Beasley Thomas .
The authorized official title is Director and has the following contact phone number (410) 494-1212.

The CLIA number assigned to this NPI record is 21D2278829 - other - mobile health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2009 and was last updated on 9/8/2010.


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
1152W00000XOptometristTA1490MARYLANDYes

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
1169004MEDICARE PINMARYLAND

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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