Harbor Eyes Optical Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

30250532 Issued in MD

Legal business name

HARBOR EYES OPTICAL INC

Practice address

3001 S Hanover St
Gruehn Building Suite 100
Baltimore, MD 21225-1233

Phone

(410) 354-6401

Fax

(410) 354-6401

NPI assigned

Mar 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Geneavee Bank, OPTICIAN

Title

President

Phone

(410) 354-6401

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1013047125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S HANOVER ST",
            "address_2": "GRUEHN BUILDING SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251233",
            "telephone_number": "410-354-6401",
            "fax_number": "410-354-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S HANOVER ST",
            "address_2": "GRUEHN BUILDING SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251233",
            "telephone_number": "410-354-6401",
            "fax_number": "410-354-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR EYES OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "BANK",
        "authorized_official_first_name": "GENEAVEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-354-6401",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MD",
            "license": "30250532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTICA",
            "identifier": "579011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X420HA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Harbor Hospital
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• Harbor Hospital

• Customized Equipment (DME) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Customized Equipment (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.