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PENN OPTICAL CO. LTD NPI 1902013824


NPI Information

NPI: 1902013824
Provider Name: PENN OPTICAL CO. LTD

Doing Business As: PENN OPTICAL VISION CARE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
5006 SINCLAIR LN
BALTIMORE, MD
ZIP 21206
Phone: (410) 488-6800
Get Directions

PENN OPTICAL CO. LTD 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. PENN OPTICAL CO. LTD NPI is 1902013824. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Penn Optical Vision Care.

The provider's business location address is:

5006 SINCLAIR LN
BALTIMORE, MD
ZIP 21206-936
Phone: (410) 488-6800
Fax: (410) 488-4270

The provider's authorized official is Richard Bradley Fuss .
The authorized official title is President and has the following contact phone number (410) 488-6800.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 5/12/2008.


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
1152WC0802XOptometristCorneal and Contact ManagementMARYLANDNo
2152WP0200XOptometristPediatricsMARYLANDNo
3152WS0006XOptometristSports VisionMARYLANDNo
4152WV0400XOptometristVision TherapyMARYLANDNo
5152WX0102XOptometristOccupational VisionMARYLANDNo
6152W00000XOptometristMARYLANDYes

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
1265668000MEDICAIDMARYLAND
20188500007MEDICARE NSCMARYLAND
30188500006MEDICARE NSCMARYLAND
40188500008MEDICARE NSCMARYLAND
5050678800MEDICAIDMARYLAND
6687720600MEDICAIDMARYLAND
7789538100MEDICAIDMARYLAND
80188500009MEDICARE NSCMARYLAND
9754302600MEDICAIDMARYLAND
100188500001MEDICARE NSCMARYLAND
110188500003MEDICARE NSCMARYLAND
120188500004MEDICARE NSCMARYLAND
13050698200MEDICAIDMARYLAND
140188500005MEDICARE NSCMARYLAND
15281428500MEDICAIDMARYLAND
16792848300MEDICAIDMARYLAND

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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