NPIMap

Organization Active NPI

Barenburg Optical Service, Inc

  • Optometrist
  • Ellicott City, MD
National Provider Identifier
1184462095
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BARENBURG OPTICAL SERVICE, INC
Practice address
9051 Baltimore National Pike
Ellicott City, MD 21042-3927
Phone
(410) 465-4020
NPI assigned
Jul 16, 2024
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BARENBURG OPTICAL SERVICE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Kathryn Maranto
Title
Director of Operations
Phone
(410) 752-1677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

9051 Baltimore National Pike
Ellicott City, MD 21042-3927

Mailing address

100 Park Ave
Baltimore, MD 21201-3416
Phone (410) 752-1677

National Provider Directory

National Provider Directory
Tax ID family
Barenburg Optical SVC Inc6 organizations share this tax ID, including this one
Part of
Barenburg Optical SVC Inc

Other organizations with this tax ID 5

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

Locations

9051 Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 465-4020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1184462095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013416",
            "telephone_number": "410-752-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423927",
            "telephone_number": "410-465-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARENBURG OPTICAL SERVICE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BARENBURG OPTICAL SERVICE, INC",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "MARANTO",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "410-752-1677"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.