MR. ARNOLD TRETTON III


Address: 2801 Hudson St., Ste.d, Baltimore, MD 21224-4802
Phone: 4105221040

MR. ARNOLD TRETTON III (NPI# 1871644872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871644872
Entity Type Individual
Full Name MR. ARNOLD TRETTON III
Practice Address 2801 Hudson St.
Ste.d
Baltimore
MD 21224-4802
Mailing Address 122a West Ring Factory Road
Bel Air
MD 21014-5304
Practice Telephone 4105221040
Practice Fax Number 4105221040
Mailing Telephone 4104207437
Enumeration Date 2007-01-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
30247729 MD Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD CARE FIRST BC BS X998 01

Office Location

Street Address 2801 HUDSON ST.
STE.D
City BALTIMORE
State MD
Zip Code 21224-4802

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1821322710 Patrick Kelly Technician/Technologist 1490 W Patapsco Ave, Baltimore, MD 21230-3400 2009-09-24
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1356541783 Carolyn Renee Player Technician/Technologist 837 N Howard St, 2nd Floor, Baltimore, MD 21201-4699 2007-07-24
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Competitor

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City BALTIMORE
Zip Code 21224

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Dataset Information

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.

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