Chase Eye Care
Organization Active NPI Optometrist · Edgewood, MD
NPI 1033427679 · NPPES record last updated Sep 16, 2010
Key facts
- NPI
- 1033427679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1769 (MD)
- Legal business name
- CHASE EYE CARE
- Practice address
- 1812 Pulaski Hwy
Suite a
Edgewood, MD 21040-1697 - Phone
- (401) 676-1010
- Fax
- (443) 922-7582
- NPI assigned
- Sep 16, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Selvin Gnanakkan, O.D.
- Title
- Optometrist
- Phone
- (410) 676-1010
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1769 | MD | Yes |
Addresses
Primary practice location
1812 Pulaski Hwy
Suite a
Edgewood, MD 21040-1697
Mailing address
1812 Pulaski Hwy
Suite a
Edgewood, MD 21040-1697
Phone (401) 676-1010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031837000 | Medicaid | MD |
Other providers in Edgewood, MD
- Changing Turn Community Healthcare Services
- Changing Turn Community Healthcare Services
- Changing Turn Community Healthcare Services
- Changing Turn Community Healthcare Services
- Changing Turn Community Healthcare Services
- Chesapeake Contemporary Dentistry, P.a.
- Diana L. Chou
- Adrienna R Christy
- Rochelle Crystal Clark
- Amber Denise Clemons
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.