Professional Vision of Bel Air Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

667 Issued in MD

Legal business name

PROFESSIONAL VISION OF BEL AIR INC

Practice address

530 Baltimore Pike
Bel Air, MD 21014-4330

Phone

(410) 879-1105

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey R Kessler, O.D.NPI 1326036369

Title

Owner/Optometrist

Phone

(410) 879-1105

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey R Kessler, OD

  • Optometrist
  • Bel Air, MD
  • NPI 1326036369
  Medicare reassignment Authorized official
• Angela Marie Skoff, PA

  • Physician Assistant
  • Wexford, PA
  • NPI 1275900268
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1144402728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BALTIMORE PIKE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144330",
            "telephone_number": "410-879-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BALTIMORE PIKE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144330",
            "telephone_number": "410-879-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL VISION OF BEL AIR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "410-879-1105",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "453046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Privia Medical Group, LLC
• PRN Inc
• PRN Inc/ Dog Tag Medical Billing LLC
• Leonard R Proctor, M.D.
• Professional Dental Associates LLC
• Progressive Physical Therapy, LLC
• Erin Prokop, C.F.N.P.
• Clinton David Protack, MD
• Lisa Proutt, PT
• Lindsey Provelengios, LCPC

• Optometrist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.