Baltimore Optical Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

BALTIMORE OPTICAL INC

Practice address

6412 Reisterstown Rd
Baltimore, MD 21215-2308

Phone

(410) 764-9360

Fax

(410) 764-3229

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Alla Deller

Title

Owner

Phone

(410) 764-9360

Specialties & licenses 1

Addresses

Other names 1

• Charm City Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Charm City Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Baltimore Optical Inc

  • Optometrist
  • Baltimore, MD
  • NPI 1578117800
  NPD tax ID

Practitioners 4

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

• Cindy Deutsch Kasner, O.D.

  • Optometrist
  • Baltimore, MD
  • NPI 1912942632
  Medicare reassignment Care Compare group
• Anna Zemelshtern, OD

  • Optometrist
  • Baltimore, MD
  • NPI 1346266376
  Medicare reassignment Care Compare group
• Michael Andreaggi, O.D.

  • Optometrist
  • Baltimore, MD
  • NPI 1851732283
  Medicare reassignment NPD
• Alan Frederick Wolf, M.D.

  • Specialist
  • Arnold, MD
  • NPI 1982632402
  Medicare reassignment

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1154400679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152308",
            "telephone_number": "410-764-9360",
            "fax_number": "410-764-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152308",
            "telephone_number": "410-764-9360",
            "fax_number": "410-764-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "DELLER",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-764-9360",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charm City Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.