Seidenberg Protzko Eye Associates

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TA1239 Issued in MD

Legal business name

SEIDENBERG PROTZKO EYE ASSOCIATES

Practice address

360 E Pulaski Hwy
Suite 1
Elkton, MD 21921-6457

Phone

(410) 620-3600

Fax

(410) 620-3838

NPI assigned

Oct 28, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca L Brandis

Title

Billing Manager

Phone

(410) 942-9476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1114355377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HWY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782137",
            "telephone_number": "410-939-6477",
            "fax_number": "410-939-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E PULASKI HWY",
            "address_2": "SUITE 1",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216457",
            "telephone_number": "410-620-3600",
            "fax_number": "410-620-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIDENBERG PROTZKO EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "BRANDIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-942-9476",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MD",
            "license": "TA1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Sciulara, PA-C
• Lyndsey Scott
• Kimberly Marie Scroger, LCPC
• Stephanie Seelinger, MS CCC/SLP
• Elizabeth Seguin
• Andrea Margaret Selvaggio, MSW, LGSW
• Senior Advisors of Delaware,LLC
• Michael Senko, LCSW-C
• Serenity Health, LLC
• Serenity Health, LLC

• Eyewear Supplier in Elkton, MD
• Providers in Elkton, MD by specialty
• Eyewear Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.