Aqua Vision Care, Llc
LBN: Aqua Vision Care, Llc
Aqua Vision Care, Llc is an health care organization with primary practice located at 1006 Reisterstown Rd , Pikesville MD 21208-4206. The organization recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Aqua Vision Care, Llc can be contacted via phone (410) 602-1567, or through Mezu, Kelechi via phone (410) 602-1567.
Contact Information
Primary practice address
1006 Reisterstown Rd
Pikesville MD 21208-4206
Phone: (410) 602-1567
Fax: (410) 602-1568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA1714 | Maryland |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | TA1714 | Maryland |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | TA1714 | Maryland |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | TA1714 | Maryland |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | TA1714 | Maryland |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | TA1714 | Maryland |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | TA1714 | Maryland |
Profile Details
| NPI number | 1093057226 |
|---|---|
| LBN Legal business name | Aqua Vision Care, Llc |
| DBA Doing business as | |
| Authorized official | Mezu, Kelechi OD, DR.PH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 26th, 2013 |
| Last updated | Mar 26th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093057226 | NPPES |
| Maryland | MEDICAID | 550003600 | |
| Maryland | Other | MD1714 | |
| Maryland | Other | 33606 | |
| Maryland | Other | 210461 | |
| Maryland | Other | 3303001 | |
| Maryland | Other | 4106021567 | |
| Maryland | Other | F534-001 | |
| Maryland | Other | 2169 | |
| Maryland | Other | 61279002 | |
| Maryland | Other | F534 |
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