Salisbury Optical

Primary specialty

OptometristTaxonomy code 152W00000X

License

TAO 709 Issued in MD

Legal business name

SALISBURY OPTICAL

Doing business as

Berlin Optical

Practice address

800 S Salisbury Blvd Ste K
Salisbury, MD 21801-6208

Phone

(410) 546-1369

Fax

(410) 546-5987

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carol James, NONE

Title

Manager

Phone

(410) 546-1369

Specialties & licenses 1

Addresses

Other names 1

• Berlin Optical Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Alan Bortnick, O.D.

  • Optometrist
  • Salisbury, MD
  • NPI 1437213451
  NPD (past)
• Jeff Jolley, OD

  • Optometrist
  • Cambridge, MD
  • NPI 1366533085
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104049105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S SALISBURY BLVD STE K",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016208",
            "telephone_number": "410-546-1369",
            "fax_number": "410-546-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S SALISBURY BLVD STE K",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016208",
            "telephone_number": "410-546-1369",
            "fax_number": "410-546-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALISBURY OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-546-1369",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TAO 709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berlin Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.