FOR EYES OPTICAL OF PA (NPI# 1760536379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760536379 |
Entity Type | Organization |
Organization Name | FOR EYES OPTICAL OF PA |
Other Organization Name | FOR EYES |
Practice Address |
3134 Crain Hwy Waldorf MD 20603-4846 |
Mailing Address |
285 W 74th Pl Hialeah FL 33014-5058 |
Practice Telephone | 3013749900 |
Enumeration Date | 2007-01-22 |
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 |
3134 CRAIN HWY |
City | WALDORF |
State | MD |
Zip Code | 20603-4846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114085099 | Herbert Michael Archey | Optometrist | 3134 Crain Hwy, Waldorf, MD 20603-4846 | 2006-12-05 |
1083113179 | Dmv Vision Care, LLC | Optometrist | 3134 Crain Hwy, Waldorf, MD 20603-4846 | 2018-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
Find all providers in zip 20603 |
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 |
---|---|---|---|---|
1851445167 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1000 Saint Nicholas, Waldorf, MD 20603 | 2007-01-23 |
1134286834 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5000 Rte 301 S, St Charles Towne Ctr, Waldorf, MD 20603-9825 | 2007-01-02 |
1114534245 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1000 Saint Nicholas Dr, Waldorf, MD 20603-4767 | 2020-09-23 |
1053698803 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 11110 Mall Cir, Waldorf, MD 20603-4803 | 2011-11-08 |
1801945209 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11170 Mall Cir, Waldorf, MD 20603-4866 | 2007-01-09 |
1851473805 | Hour Eyes Inc | Eyewear Supplier (Equipment, not the service) | 11110 Mall Circle, Waldorf, MD 20603 | 2006-10-19 |
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.