Active NPI
Greater Baltimore Medical Center, Inc.
Doing business as Richard E. Hoover Low Vision Rehabilitation Services
- Ophthalmology Physician
- Baltimore, MD
National Provider Identifier
1164675906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- GREATER BALTIMORE MEDICAL CENTER, INC.
- Doing business as
- Richard E. Hoover Low Vision Rehabilitation Services
- Practice address
- 6569 N Charles St Ste 504
Baltimore, MD 21204-5811 - Phone
- (443) 849-2658
- NPI assigned
- Oct 24, 2008
- Last updated
- Aug 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Campbell
- Title
- Interim Evp/Cfo
- Phone
- (443) 849-3844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
6569 N Charles St Ste 504
Baltimore, MD 21204-5811
Mailing address
6701 N Charles St
S Chapman BLDG, Ste 102
Baltimore, MD 21204
Other names 1
- Richard E. Hoover Low Vision Rehabilitation Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000852 | MD | Part B Supplier - Clinic/Group Practice | 1759276975 |
Receives reassigned benefits from 513 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 108
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754524800000",
"number": "1164675906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"address_2": "S CHAPMAN BLDG, STE 102",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6569 N CHARLES ST STE 504",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212045811",
"telephone_number": "443-849-2658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER BALTIMORE MEDICAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-24",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "INTERIM EVP/CFO",
"authorized_official_telephone_number": "443-849-3844"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Richard E. Hoover Low Vision Rehabilitation Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Greater Baltimore Medical Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.