OPTILENS VISION CENTER (NPI# 1720608573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720608573 |
| Entity Type | Organization |
| Organization Name | OPTILENS VISION CENTER |
| Practice Address |
1490 W Patapsco Ave Ste E Baltimore MD 21230-3400 |
| Practice Telephone | 4103556900 |
| Practice Fax Number | 4103556910 |
| Mailing Telephone | 4103556900 |
| Mailing Fax Number | 4103556910 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | PATRICK KEITH KELLY (OWNER) |
| Authorized Official Telephone | 4104464386 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
1490 W PATAPSCO AVE STE E |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21230-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739558 | Margaret Webb | Registered Nurse | Medstar Health, 1420 Key Highway, Baltimore, MD 21230 | 2020-10-27 |
| 1497381263 | Hawkes Counseling Services | Counselor | 837 Washington Blvd, Suite B, Baltimore, MD 21230 | 2020-03-12 |
| 1821570011 | Lisa Le | Social Worker | 1623 Covington St, Baltimore, MD 21230 | 2018-09-04 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1144745068 | Charles Billingsley | Counselor | 909 W Barre St, Baltimore, MD 21230 | 2017-08-11 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1952775389 | Courtney Schwalbe | Speech-Language Pathologist | 600 S Paca Street, Baltimore, MD 21230 | 2015-11-23 |
| 1093071920 | Glass Health Programs, Inc | Clinic/Center | 1801 Cherry Hill Rd, Baltimore, MD 21230 | 2012-04-04 |
| 1487937512 | Harris Teeter, LLC | Pharmacy | 1801 Whetstone Way, Baltimore, MD 21230 | 2011-09-26 |
| 1487980280 | Ife A Thompson | Physician Assistant | 601 S. Charles Street, Baltimore, MD 21230 | 2009-10-29 |
| Find all providers in zip 21230 | ||||
| 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 |
|---|---|---|---|---|
| 1598130999 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4701 Odonnell St, Baltimore, MD 21224-5303 | 2015-12-10 |
| 1568662542 | Essilor Laboratories of America, Inc. | Eyewear Supplier (Equipment, not the service) | 1107 Wilso Dr, Baltimore, MD 21223-3230 | 2007-07-19 |
| 1821292236 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2400 Boston St Ste 106, Baltimore, MD 21224-4780 | 2007-06-12 |
| 1699829200 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4201 Wholesale Club, Baltimore, MD 21236 | 2007-01-22 |
| 1053478339 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6901 Security Blvd, Baltimore, MD 21244 | 2007-01-03 |
| 1043374184 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8200 Perry Hall Blvd Ste 2036, Baltimore, MD 21236-4042 | 2006-12-21 |
| 1528132958 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 7885 East Point Mall, Baltimore, MD 21224-2116 | 2006-11-18 |
| 1760567226 | For Eyes Optical Co. of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 330 N Charles St, Baltimore, MD 21201-4304 | 2006-10-25 |
| 1548281686 | Debrouse Opticians | Eyewear Supplier (Equipment, not the service) | 7601 1/2 Harford Rd, Baltimore, MD 21234-6401 | 2006-07-22 |
| 1215953286 | Spectera | Eyewear Supplier (Equipment, not the service) | 6306 1/2 York Rd, United Optical, Baltimore, MD 21212 | 2006-07-14 |
| 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.