PENN OPTICAL CO LTD (NPI# 1215123401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215123401 |
| Entity Type | Organization |
| Organization Name | PENN OPTICAL CO LTD |
| Practice Address |
2401 Liberty Heights Ave # 3730 Baltimore MD 21215-8019 |
| Mailing Address |
5006 Sinclair Ln Baltimore MD 21206-5936 |
| Practice Telephone | 4106698030 |
| Practice Fax Number | 4106697366 |
| Mailing Telephone | 4104886800 |
| Mailing Fax Number | 4104884270 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |
| Authorized Official Name | DR. RICHARD FUSS (PRESIDENT) |
| Authorized Official Telephone | 4104886800 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers | ||
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
Eye and Vision Services Providers | ||
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
Eye and Vision Services Providers | ||
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
Eye and Vision Services Providers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386830586 | Penn Optical Co Ltd | Optometrist | 6315 York Rd, Baltimore, MD 21212-2359 | 2007-09-20 |
| 1235325432 | Penn Optical Co Ltd | Optometrist | 2483 Frederick Ave, Baltimore, MD 21223-2856 | 2007-09-20 |
| 1659567840 | Penn Optical Co Ltd | Optometrist | 3124 Greenmount Ave, Baltimore, MD 21218-3417 | 2007-09-20 |
| 1841486040 | Penn Optical Co Ltd | Optometrist | 7825 Eastpoint Mall, Baltimore, MD 21224-2120 | 2007-09-20 |
| 1164619680 | Penn Optical Co Ltd | Optometrist | 5006 Sinclair Ln, Baltimore, MD 21206-5936 | 2007-09-28 |
| 1952597155 | Penn Optical Co Ltd | Optometrist | 6901 Security Blvd, Suite 405, Baltimore, MD 21244-2412 | 2007-09-20 |
| Street Address |
2401 LIBERTY HEIGHTS AVE # 3730 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-8019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245880822 | Trinity Vision and Hearing Inc | Optometrist | 5625 Refugee Rd Nw, Baltimore, OH 43105-9421 | 2019-09-16 |
| 1790267219 | Greater Baltimore Medical Center, Inc. | Optometrist | 6569 N Charles St Ste 505, Baltimore, MD 21204-5809 | 2018-08-31 |
| 1962918268 | Katzen Medical Associates, PC | Optometrist | 301 Saint Paul St Ste 902, Baltimore, MD 21202-2102 | 2017-12-21 |
| 1043725476 | Joseph Anthony Rispoli | Optometrist | 2925 Lord Baltimore Dr Ste 300, Baltimore, MD 21244-2660 | 2017-12-07 |
| 1285083055 | Thomas Ravas | Optometrist | 807 Aliceanna St, Baltimore, MD 21202-4385 | 2016-06-12 |
| 1083095863 | Shahab Motamedi | Optometrist | 501 Saint Paul St Apt 901, Baltimore, MD 21202-2279 | 2015-06-17 |
| 1912399692 | Innovision Eye Care LLC | Optometrist | 1500 Whetstone Way Ste 100, Baltimore, MD 21230-4765 | 2015-03-04 |
| 1912335258 | United Healthcare Services, Inc. | Optometrist | 2111 Van Deman St, Baltimore, MD 21224-6609 | 2013-10-24 |
| 1326474263 | Canton Crossing Optometry, LLC | Optometrist | 3715 Boston St, Baltimore, MD 21224-5752 | 2013-09-24 |
| 1891120309 | Danielle Natale | Optometrist | 2700 Quarry Lake Dr Ste 180, Baltimore, MD 21209-3743 | 2013-09-04 |
| Find all providers in BALTIMORE | ||||
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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.