Waxman, Carl M
Waxman, Carl M is an sole proprietor health care provider with primary practice located at 400 N Center St Sears Optical, Westminster MD 21157-5140. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Waxman, Carl M can be contacted via phone (410) 857-0413.Contact Information
Primary practice address
400 N Center St Sears Optical
Westminster MD 21157-5140
Phone: (410) 857-0413
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA0764 | Maryland |
Profile Details
| NPI number | 1437141942 |
|---|---|
| LBN Legal business name | Waxman, Carl M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Feb 25th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437141942 | NPPES |
| Maryland | Other | 30925 | MDIPA/OPTIMUM CHOICE |
| Maryland | Other | 40285 | MDIPA/OPTIMUM CHOICE |
| Maryland | Other | 5167502 | MDIPA/OPTIMUM CHOICE |
| Maryland | Other | 911041 | MDIPA/OPTIMUM CHOICE |
| Maryland | Other | 210357 | MDIPA/OPTIMUM CHOICE |
| Maryland | Other | 8292-0001 | MDIPA/OPTIMUM CHOICE |
| Maryland | Other | 940285 | MDIPA/OPTIMUM CHOICE |
| Maryland | Other | 410048221 | MDIPA/OPTIMUM CHOICE |
| Maryland | MEDICAID | 974268900 | MDIPA/OPTIMUM CHOICE |
| Maryland | Other | X812 | MDIPA/OPTIMUM CHOICE |
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