Organization Name: | SEIDENBERG PROTZKO EYE ASSOCIATES |
NPI Number: | 1114355377 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA L BRANDIS (BILLING MANAGER) |
Mailing Address: | 360 E Pulaski Hwy Suite 1 Elkton |
State: | MD US |
Postal Code: | 219216457 |
Phone Number: | 4106203600 |
Fax Number: | 4106203838 |
NPI Enumeration Date: | 10/28/2013 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | TA1239 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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. |