Aurora Vision Group, P.C.
Organization Active NPI Optometrist · Annapolis, MD
NPI 1144372103 · NPPES record last updated May 24, 2011
Key facts
- NPI
- 1144372103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- TA-1003 (MD)
- Legal business name
- AURORA VISION GROUP, P.C.
- Practice address
- 2567 Housley Rd
Annapolis, MD 21401-6751 - Phone
- (410) 224-2306
- Fax
- (410) 224-0206
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. John T. Barr, O.D.
- Title
- President
- Phone
- (410) 224-2306
Practitioners 1
-
John T. Barr, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120105000137 | MD | Part B Supplier - Clinic/Group Practice | 7911173414 |
Receives reassigned benefits from 1 practitioner Practice locations: Annapolis, MD; Stevensville, MD |
National Provider Directory
Locations
2567 Housley Rd
Annapolis, MD 21401
Phone (410) 224-2306
374 Thompson Creek Mall
Stevensville, MD 21666
Phone (410) 604-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | TA-1003 | MD | Yes |
Addresses
Primary practice location
2567 Housley Rd
Annapolis, MD 21401-6751
Mailing address
2567 Housley Rd
Annapolis, MD 21401-6751
Phone (410) 224-2306
Other names
- Island Eyecare
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.