Salasa II, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA0640 Issued in MD

Legal business name

SALASA II, LLC

Doing business as

Levin Eye Care

Practice address

517 E Belvedere Ave
Baltimore, MD 21212-3745

Phone

(410) 467-7727

Fax

(410) 668-0614

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Amanda O'Neil

Title

Practice Manager

Phone

(410) 665-1779

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Levin Eye Care Doing business as

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1104283100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123745",
            "telephone_number": "410-467-7727",
            "fax_number": "410-668-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 E BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123745",
            "telephone_number": "410-467-7727",
            "fax_number": "410-668-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALASA II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-665-1779"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415598000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Levin Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Leigh Salas, DO
• Antonio Dalbert Salas
• Elena Salas
• Katrieana R Salas, LMSW
• Rachel Marie E. Salas, M.D.
• Salasa LLC
• Ruth Andrea Salazar Camelo, MD
• Nicole M Salazar-Austin, M.D.
• Eric Salazar
• Peter A Salazar, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.