PENN OPTICAL CO. LTD (NPI# 1902013824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902013824 |
| Entity Type | Organization |
| Organization Name | PENN OPTICAL CO. LTD |
| Other Organization Name | PENN OPTICAL VISION CARE |
| Practice Address |
5006 Sinclair Ln Baltimore MD 21206-5936 |
| Practice Telephone | 4104886800 |
| Practice Fax Number | 4104884270 |
| Mailing Telephone | 4104886800 |
| Mailing Fax Number | 4104884270 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | DR. RICHARD BRADLEY FUSS (PRESIDENT) |
| Authorized Official Telephone | 4104886800 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
MD | Eye and Vision Services Providers | |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
MD | Eye and Vision Services Providers | |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
MD | Eye and Vision Services Providers | |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
MD | Eye and Vision Services Providers | |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
MD | Eye and Vision Services Providers | |
| Y | 152W00000X | Optometrist | MD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 687720600 | 05 | |
| MD | 281428500 | 05 | |
| MD | 792848300 | 05 | |
| MD | 050678800 | 05 | |
| MD | 050698200 | 05 | |
| MD | 789538100 | 05 | |
| MD | 265668000 | 05 | |
| MD | 754302600 | 05 |
| Other Name | Type Code |
|---|---|
| Penn Optical Vision Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053507236 | Penn Optical Co. Ltd | Optometrist | 2122 E Monument St, Baltimore, MD 21205-2334 | 2007-09-20 |
| Street Address |
5006 SINCLAIR LN |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21206-5936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689639528 | Richard Bradley Fuss | Optometrist | 5006 Sinclair Ln, Baltimore, MD 21206-5936 | 2006-04-20 |
| 1235644881 | Ez Optical Inc | Eyewear Supplier (Equipment, not the service) | 5006 Sinclair Ln, Baltimore, MD 21206-5936 | 2017-12-05 |
| 1750893095 | Ez Smile Dental Inc | Clinic/Center | 5006 Sinclair Ln, Baltimore, MD 21206-5936 | 2017-10-26 |
| 1164619680 | Penn Optical Co Ltd | Optometrist | 5006 Sinclair Ln, Baltimore, MD 21206-5936 | 2007-09-28 |
| 1013057728 | Paul Nenner | Optometrist | 5006 Sinclair Ln, Baltimore, MD 21206-5936 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370601 | Tates Health Care, LLC | Nursing Care | 7303 Beech Ave, Baltimore, MD 21206 | 2019-08-02 |
| 1962912444 | Meagan Carreira | Occupational Therapy Assistant | 5009 Frankfurt Avenue, Baltimore, MD 21206 | 2017-10-10 |
| 1821511551 | Anu Healthcare Services Inc | Psychiatry & Neurology | 4809 Belair Road, Baltimore, Maryland, MD 21206 | 2017-07-25 |
| 1447704648 | Belair Health Solutions, Inc | Counselor | 4825 Belair Rd., Baltimore, MD 21206 | 2016-08-05 |
| 1053716563 | Paule Kengne | Home Health Aide | 4602 Willshire Ave, Baltimore, MD 21206 | 2014-10-27 |
| 1821408733 | Shana Gee | Technician | 4238 Seidel Ave, Baltimore, MD 21206 | 2014-04-30 |
| 1902236524 | Heidi Ann Smith | Physical Therapist | 3910 Chesley Avenue, Baltimore, MD 21206 | 2013-11-18 |
| 1891138277 | Kenyona N Davis | Social Worker | 5622 Remmell Ave Unit F, Baltimore, MD 21206 | 2013-04-16 |
| 1497095368 | Aderonke Ogunsua | Home Health Aide | 4430 Moravia Rd Apt10, Baltimore, MD 21206 | 2013-02-28 |
| 1902173974 | Jennifer Lea Reed | Social Worker | 5901 Benton Heights Avenue, Baltimore, MD 21206 | 2011-11-19 |
| Find all providers in zip 21206 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245880822 | Trinity Vision and Hearing Inc | Optometrist | 5625 Refugee Rd Nw, Baltimore, OH 43105-9421 | 2019-09-16 |
| 1790267219 | Greater Baltimore Medical Center, Inc. | Optometrist | 6569 N Charles St Ste 505, Baltimore, MD 21204-5809 | 2018-08-31 |
| 1962918268 | Katzen Medical Associates, PC | Optometrist | 301 Saint Paul St Ste 902, Baltimore, MD 21202-2102 | 2017-12-21 |
| 1043725476 | Joseph Anthony Rispoli | Optometrist | 2925 Lord Baltimore Dr Ste 300, Baltimore, MD 21244-2660 | 2017-12-07 |
| 1285083055 | Thomas Ravas | Optometrist | 807 Aliceanna St, Baltimore, MD 21202-4385 | 2016-06-12 |
| 1083095863 | Shahab Motamedi | Optometrist | 501 Saint Paul St Apt 901, Baltimore, MD 21202-2279 | 2015-06-17 |
| 1912399692 | Innovision Eye Care LLC | Optometrist | 1500 Whetstone Way Ste 100, Baltimore, MD 21230-4765 | 2015-03-04 |
| 1912335258 | United Healthcare Services, Inc. | Optometrist | 2111 Van Deman St, Baltimore, MD 21224-6609 | 2013-10-24 |
| 1326474263 | Canton Crossing Optometry, LLC | Optometrist | 3715 Boston St, Baltimore, MD 21224-5752 | 2013-09-24 |
| 1891120309 | Danielle Natale | Optometrist | 2700 Quarry Lake Dr Ste 180, Baltimore, MD 21209-3743 | 2013-09-04 |
| 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.