BRETON BAY OPTICAL SHOP, LLC (NPI# 1124407226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124407226 |
| Entity Type | Organization |
| Organization Name | BRETON BAY OPTICAL SHOP, LLC |
| Practice Address |
40845 Merchants Ln Suite 150 Leonardtown MD 20650-3767 |
| Practice Telephone | 3019971822 |
| Practice Fax Number | 3019971823 |
| Mailing Telephone | 3019971822 |
| Mailing Fax Number | 3019971823 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |
| Authorized Official Name | LESLIE A MURPHY (MANAGER) |
| Authorized Official Telephone | 3019971822 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
40845 MERCHANTS LN SUITE 150 |
| City | LEONARDTOWN |
| State | MD |
| Zip Code | 20650-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144298779 | Ann Marie Cassetta | Physical Therapist | 40845 Merchants Ln, Leonardtown, MD 20650-3767 | 2006-03-09 |
| 1013531029 | Casie Marie Phetteplace | Physical Therapist | 40845 Merchants Ln, Leonardtown, MD 20650-3767 | 2020-06-04 |
| 1326555012 | Jennifer M Jones | Physical Therapist | 40845 Merchants Ln, Leonardtown, MD 20650-3767 | 2018-01-04 |
| 1396879862 | Fairland Market Inc. | Pharmacy | 40845 Merchants Ln, Leonardtown, MD 20650-3767 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831665819 | Delahay Healthcare Services LLC | Home Health Aide | 40001 Stillwater Ln, Leonardtown, MD 20650 | 2018-10-17 |
| 1891241519 | Aaron Dailey | Pharmacist | 40955 Merchant Lane, Leonardtown, MD 20650 | 2016-09-01 |
| 1720483936 | Joy Jay, Inc | Dentist | 41630 Courthouse Dr., Leonardtown, MD 20650 | 2014-10-30 |
| 1497092605 | Deborah Ann Duley | Social Worker | 41660 Courthouse Drive, Suite 201c, Leonardtown, MD 20650 | 2013-01-08 |
| 1962757104 | Sense-ability, LLC | Occupational Therapy Assistant | 41680 Miss Bessie Dr Ste 103, Leonardtown, MD 20650 | 2012-07-13 |
| 1578876264 | Belitehorizonmedicalcenter | Psychiatry & Neurology | 26825 Pointlook Out Road, Stee, Leonardtown, MD 20650 | 2010-07-22 |
| 1043544497 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 41680 Courthouse Dr, Leonardtown, MD 20650 | 2009-10-01 |
| 1487892899 | Valentina Savel | Nurse Anesthetist, Certified Registered | 25500 Pt Lookout Rd, Leonardtown, MD 20650 | 2009-01-23 |
| 1174786362 | Henry Todd Allen | Dentist | 22690 Washington Street, Leonardtown, MD 20650 | 2008-07-08 |
| 1487813192 | St Mar's County Dept of Human Services | Public Health or Welfare | 23115 Leonard Hall Drive, Department of Human Services, Leonardtown, MD 20650 | 2008-06-06 |
| Find all providers in zip 20650 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234098 | Azar/filipov Md Pa | Technician/Technologist | 31519 Winterplace Pkwy Ste 1, Salisbury, MD 21804-1894 | 2020-08-05 |
| 1962011510 | Edmund Hilliman | Technician/Technologist | 3202 Ridgeway Pl, Windsor Mill, MD 21244-1021 | 2020-07-29 |
| 1063047827 | Jeremiah Beauvilet | Technician/Technologist | 519 Lake Vista Cir Apt I, Cockeysville, MD 21030-5250 | 2020-03-11 |
| 1891326195 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 1380 Progress Way Ste 108, Eldersburg, MD 21784-6498 | 2020-01-27 |
| 1356985964 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 200 Washington Heights Medical Cetner, Westminster, MD 21157-2115 | 2019-11-06 |
| 1952969503 | Catonsville Vision Partners | Technician/Technologist | 405 Frederick Rd Ste 106, Baltimore, MD 21228-4646 | 2019-05-30 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1326539081 | Daniel Dario Lorenzo | Technician/Technologist | 6811 Kenilworth Ave Fl 5, Riverdale, MD 20737-1333 | 2018-05-29 |
| 1215436357 | National Vision. Inc. | Technician/Technologist | 1401 Merritt Blvd # F, Baltimore, MD 21222-2140 | 2018-02-05 |
| 1972017358 | Chippewa Optical LLC | Technician/Technologist | 305 Reisterstown Rd, Baltimore, MD 21208-5313 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
| City | LEONARDTOWN |
| Zip Code | 20650 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.