Penn Optical Vision Care
LBN: Penn Optical Co. Ltd
Penn Optical Vision Care is an health care organization with primary practice located at 5006 Sinclair Ln , Baltimore MD 21206-5936. The organization recently has 6 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 / 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.
Penn Optical Co. Ltd can be contacted via phone (410) 488-6800, or through Fuss, Richard Bradley via phone (410) 488-6800.
Contact Information
Primary practice address
5006 Sinclair Ln
Baltimore MD 21206-5936
Phone: (410) 488-6800
Fax: (410) 488-4270
Website:
Authorized official contact:
Name: Fuss, Richard Bradley Doctor of Optometry (OD)
Phone: (410) 488-6800
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | Maryland | |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | Maryland | |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | Maryland | |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | Maryland | |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | Maryland | |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | Maryland |
Profile Details
| NPI number | 1902013824 |
|---|---|
| LBN Legal business name | Penn Optical Co. Ltd |
| DBA Doing business as | Penn Optical Vision Care |
| Authorized official | Fuss, Richard Bradley Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | May 12th, 2008 - about 17 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 | 1902013824 | NPPES |
| Maryland | MEDICAID | 792848300 | |
| Maryland | MEDICAID | 687720600 | |
| Maryland | MEDICAID | 754302600 | |
| Maryland | MEDICAID | 281428500 | |
| Maryland | MEDICAID | 050678800 | |
| Maryland | MEDICAID | 789538100 | |
| Maryland | MEDICAID | 050698200 | |
| Maryland | MEDICAID | 265668000 |
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