Organization Name: | NEW AGE OPTICIANS |
NPI Number: | 1114195732 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ODELL ARTTO SMITH (OWNER) |
Mailing Address: | 821 N Eutaw St Suite 303 Baltimore |
State: | MD US |
Postal Code: | 212014648 |
Phone Number: | 4437977754 |
Fax Number: | 4102258397 |
NPI Enumeration Date: | 02/16/2008 |
NPI Last Update Date: | 02/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |