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 |
1 | 152W00000X | Optometrist | | | | Yes |
2 | 152W00000X | Optometrist | | TA1949 | MARYLAND | No |
3 | 152W00000X | Optometrist | | TA0842 | MARYLAND | No |
4 | 152W00000X | Optometrist | | TA1408 | MARYLAND | No |
5 | 152W00000X | Optometrist | | TA0563 | MARYLAND | No |
6 | 152WC0802X | Optometrist | Corneal and Contact Management | TA0842 | MARYLAND | No |
7 | 152WC0802X | Optometrist | Corneal and Contact Management | TA0563 | MARYLAND | No |
8 | 152WL0500X | Optometrist | Low Vision Rehabilitation | TA0563 | MARYLAND | No |
9 | 152WP0200X | Optometrist | Pediatrics | TA0563 | MARYLAND | No |
10 | 152WS0006X | Optometrist | Sports Vision | TA0563 | MARYLAND | No |
11 | 152WV0400X | Optometrist | Vision Therapy | TA0563 | MARYLAND | No |
12 | 152WX0102X | Optometrist | Occupational Vision | TA0563 | MARYLAND | No |