Physicians Eye Care Center Llc
LBN: Physicians Eye Care Center Llc
Physicians Eye Care Center Llc is an health care organization with primary practice located at 1001 Pine Heights Ave Suite 101, Baltimore MD 21229-5208. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Physicians Eye Care Center Llc can be contacted via phone (410) 644-9515, or through Susel, Richard Malcolm via phone (410) 644-9515.
Contact Information
Primary practice address
1001 Pine Heights Ave Suite 101
Baltimore MD 21229-5208
Phone: (410) 644-9515
Fax:
Website:
Authorized official contact:
Name: Susel, Richard Malcolm Doctor of Medicine (MD)
Phone: (410) 644-9515
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1780800359 |
|---|---|
| LBN Legal business name | Physicians Eye Care Center Llc |
| DBA Doing business as | |
| Authorized official | Susel, Richard Malcolm Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 14th, 2010 - about 14 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 | 1780800359 | NPPES |
| Maryland | MEDICAID | 151100900 | |
| Maryland | Other | KX63PH | |
| Maryland | Other | 5322 | |
| Maryland | Other | 34311 |
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