FOR EYES OPTICAL OF PA (NPI# 1558414201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558414201 |
Entity Type | Organization |
Organization Name | FOR EYES OPTICAL OF PA |
Other Organization Name | FOR EYES |
Practice Address |
1052 W Patrick St Frederick MD 21703 |
Mailing Address |
3601 Sw 160th Ave Ste 400 Miramar FL 33027-6312 |
Practice Telephone | 3016962020 |
Mailing Telephone | 3055579004 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-02-26 |
NPI Deactivation Date | 07/10/2013 |
NPI Reactivation Date | 2013-08-02 |
Authorized Official Name | KIM GRIFFIN (MANAGER) |
Authorized Official Telephone | 3055579004 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Other Name | Type Code |
---|---|
For Eyes | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417412842 | For Eyes Optical of Pa | Optometrist | 1300-a Worcester St, Sherwood Plaza, Plaza Suite 11, Natick, MA 01760 | 2019-02-11 |
1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
1497229215 | For Eyes Optical of Pa | Optometrist | 17 W 412-414 22nd St, Ste M&n, Oakbrook Terrace, IL 60181 | 2019-01-15 |
1710451539 | For Eyes Optical of Pa | Optometrist | 186 West Street Road, Feasterville, PA 19053 | 2019-01-15 |
1770057762 | For Eyes Optical of Pa | Optometrist | 271 W Townline Rd Ste 120, Vernon Hills, IL 60061-4333 | 2019-01-14 |
1588138457 | For Eyes Optical of Pa | Optometrist | 10010 Reisterstown Rd Ste 46, Owings Mills, MD 21117-4158 | 2019-01-14 |
1205310299 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 610 Cross Keys Rd, Sicklerville, NJ 08081-9580 | 2018-09-17 |
1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
1255523411 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 2 Wayside Rd, Unit 2g, Burlington, MA 01803 | 2007-08-13 |
1962613893 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 271 West Townline Rd, Unit 120, Vernon Hills, IL 60061 | 2007-05-24 |
Street Address |
1052 W PATRICK ST |
City | FREDERICK |
State | MD |
Zip Code | 21703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063588150 | Robert Francis Gilligan | Optometrist | 1052 W Patrick St, Frederick, MD 21703-3963 | 2006-11-28 |
1760807481 | Hediyeh Arjomandi | Optometrist | 1052 W Patrick St, Frederick, MD 21703-3963 | 2014-03-04 |
1902190952 | Robert F Gilligan | Optometrist | 1052 W Patrick St, Frederick, MD 21703-3963 | 2011-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
Find all providers in zip 21703 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376874164 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 1301 W Patrick St, Federick Towne Mall, Frederick, MD 21702-3810 | 2010-01-19 |
1659445088 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 5500 Buckeystown Pk, Francis Scott Key Mall, Frederick, MD 21703-8331 | 2006-11-18 |
1558444034 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 5509 Urbana Pike, Frederick, MD 21704 | 2006-10-20 |
1053424366 | Spectera | Eyewear Supplier (Equipment, not the service) | 1100 West Patrick Street, United Optical, Frederick, MD 21703 | 2006-08-17 |
1245624519 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10 Monocacy Blvd, Frederick, MD 21704-7256 | 2015-03-25 |
1760769517 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 5509 Urbana Pike, Frederick, MD 21704-7277 | 2011-11-08 |
1306175534 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 5500 Buckeystown Pike, Francis Scott Key Mall Ste #620, Frederick, MD 21703-8331 | 2009-12-17 |
1942353206 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5227 Buckeystown Pike, Frederick, MD 21704 | 2007-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565613 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 44950 Worth Ave, California, MD 20619-2418 | 2020-10-12 |
1336747575 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1781 Ritchie Station Ct, Capitol Heights, MD 20743-5064 | 2020-10-10 |
1336756238 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16520 Ballpark Rd, Bowie, MD 20716-3684 | 2020-09-25 |
1518573682 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 8139 Gov Ritchie Hwy, Pasadena, MD 21122-6919 | 2020-09-23 |
1720608573 | Optilens Vision Center | Eyewear Supplier (Equipment, not the service) | 1490 W Patapsco Ave Ste E, Baltimore, MD 21230-3400 | 2020-04-22 |
1366085888 | Azar Eye Optical, LLC | Eyewear Supplier (Equipment, not the service) | 31519 Winterplace Pkwy Ste 2, Salisbury, MD 21804-1894 | 2019-10-28 |
1295387298 | Dasod Eye Care LLC | Eyewear Supplier (Equipment, not the service) | 26772 Point Lookout Rd, Leonardtown, MD 20650-4905 | 2019-07-10 |
1962061523 | Bradley Sultan | Eyewear Supplier (Equipment, not the service) | 9315 Morning Walk Dr, Hagerstown, MD 21740-1485 | 2019-06-07 |
1447816293 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7141 Arlington Rd Ste W1, Bethesda, MD 20814-2908 | 2019-05-17 |
1235610346 | For Eyes Optical Inc | Eyewear Supplier (Equipment, not the service) | 10010 Reisterstown Rd, Owings Mills, MD 21117-4158 | 2018-08-27 |
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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.