Chernov Optical Vision

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA960 Issued in MD

Legal business name

CHERNOV OPTICAL VISION

Doing business as

eye to eye

Practice address

1819 York Rd
Timonium, MD 21093-5119

Phone

(410) 252-5850

Fax

(410) 560-2165

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Boris Chernoff

Title

President

Phone

(410) 252-5850

Specialties & licenses 1

Addresses

Other names 1

• eye to eye Doing business as

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174641229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 YORK RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935119",
            "telephone_number": "410-252-5850",
            "fax_number": "410-560-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 YORK RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935119",
            "telephone_number": "410-252-5850",
            "fax_number": "410-560-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERNOV OPTICAL VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHERNOFF",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-252-5850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eye to eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Timonium, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.