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BRUCE HYATT NPI 1760672729


NPI Information

NPI: 1760672729
Provider Name: BRUCE HYATT

Doing Business As: ROLAND PARK VISION SERVICE

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 21D2204130

Address:
409 W COLD SPRING LN
BALTIMORE, MD
ZIP 21210
Phone: (410) 243-8884
Get Directions

BRUCE HYATT is an optometrist in Baltimore, 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. BRUCE HYATT NPI is 1760672729. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Roland Park Vision Service.

The provider's business location address is:

409 W COLD SPRING LN
BALTIMORE, MD
ZIP 21210-845
Phone: (410) 243-8884
Fax: (410) 243-5656

The provider's authorized official is Bruce Irvin Hyatt .
The authorized official title is Optometrist/owner and has the following contact phone number (410) 243-8884.

The CLIA number assigned to this NPI record is 21D2204130 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 7/26/2007.


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
1152W00000XOptometristTAO749MDMARYLANDYes

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
1X328MEDICARE 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: 4/28/2024

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