Chestertown Optical Shoppe Inc

Organization Active NPI Optician · Chestertown, MD

NPI 1194893370 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1194893370
Entity type
Organization (NPI type 2)
Primary specialty
Optician 156FX1800X
Legal business name
CHESTERTOWN OPTICAL SHOPPE INC
Practice address
932 Washington Ave
Unit G
Chestertown, MD 21620-3324
Phone
(410) 778-9089
Fax
(410) 778-5617
NPI assigned
Dec 4, 2006
Organization subpart
No

Authorized official

Name
Terry Rabinowitz
Title
Owwner
Phone
(410) 778-9089

Practitioners 1

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

National Provider Directory

Locations

932 Washington Ave
Unit G
Chestertown, MD 21620
Phone (410) 778-9089

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician
Group: 193400000X SINGLE SPECIALTY GROUP
156FX1800X Yes

Addresses

Primary practice location

932 Washington Ave
Unit G
Chestertown, MD 21620-3324

Mailing address

932 Washington Ave
Unit G
Chestertown, MD 21620-3324
Phone (410) 778-9089

Other identifiers

IdentifierTypeStateIssuer
530852-01 X758OtherMDCAREFIRST ID#S

Other providers in Chestertown, MD

All providers in Chestertown, MD · Optician in Maryland

Sources for this page

Verify at the official NPI Registry.