CHESTERTOWN OPTICAL SHOPPE INC (NPI# 1194893370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194893370 |
| Entity Type | Organization |
| Organization Name | CHESTERTOWN OPTICAL SHOPPE INC |
| Practice Address |
932 Washington Ave Unit G Chestertown MD 21620-3324 |
| Practice Telephone | 4107789089 |
| Practice Fax Number | 4107785617 |
| Mailing Telephone | 4107789089 |
| Mailing Fax Number | 4107785617 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERRY RABINOWITZ (OWWNER) |
| Authorized Official Telephone | 4107789089 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST ID#S | 530852-01 X758 | 01 |
| Street Address |
932 WASHINGTON AVE UNIT G |
| City | CHESTERTOWN |
| State | MD |
| Zip Code | 21620-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912984204 | Patricia Ann Fanning | Chiropractor | 932 Washington Ave, Chestertown, MD 21620-3324 | 2005-12-28 |
| 1609184951 | Maryland Real Life Designs, LLC | Prosthetic/Orthotic Supplier | 932 Washington Ave, Chestertown, MD 21620-3324 | 2010-09-21 |
| 1073681235 | Terry Rabinowitz | Technician/Technologist | 932 Washington Ave, Unit G, Chestertown, MD 21620-3324 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396236824 | Fletcher Darby Johnson | Health Educator | 813 High Street, Chestertown, MD 21620 | 2018-05-21 |
| 1134583818 | Chestertown Physical Therapy | Occupational Therapist | 200 Mognec Road, Chestertown, MD 21620 | 2016-04-08 |
| 1871993436 | Julia Belanger | Family Medicine | 126 Philosophers Ter Ste 200, Chestertown, MD 21620 | 2014-09-01 |
| 1841536307 | Michael C. Hickman | Physical Therapy Assistant | 415 Morgnec Rd., Chestertown, MD 21620 | 2013-01-02 |
| 1083854715 | For All Seasons, Inc. | Social Worker | 516 Washingston St, Chestertown, MD 21620 | 2009-02-20 |
| 1588810972 | Dhmh Upper Shore Community Mental Health | Psychiatric Hospital | 300 Scheeler Road, Chestertown, MD 21620 | 2008-08-18 |
| 1912153784 | Edwin Tom Taylor | Pediatrics | 100 Brown Street Med Ser Bldg Ste 107, Chestertown, MD 21620 | 2008-08-13 |
| 1083884613 | Danielle Latricia Gomer | Clinic/Center | 606 Cannon Street, Chestertown, MD 21620 | 2008-03-11 |
| 1821276320 | James Robert Siemen | Psychologist | 300 Sheeler Road, Chestertown, MD 21620 | 2008-02-06 |
| 1326223504 | Roseannette C Cooper | Acupuncturist | 311 Rosin Drive, Chestertown, MD 21620 | 2008-01-07 |
| Find all providers in zip 21620 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073681235 | Terry Rabinowitz | Technician/Technologist | 932 Washington Ave, Unit G, Chestertown, MD 21620-3324 | 2006-12-04 |
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| 1063047827 | Jeremiah Beauvilet | Technician/Technologist | 519 Lake Vista Cir Apt I, Cockeysville, MD 21030-5250 | 2020-03-11 |
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| 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 | CHESTERTOWN |
| Zip Code | 21620 |
Please comment or provide details below to improve the information on CHESTERTOWN OPTICAL SHOPPE INC.
| 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.