Barenburg Optical Service, Inc
Organization Active NPI Optometrist · Pasadena, MD
NPI 1336987247 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1336987247
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- BARENBURG OPTICAL SERVICE, INC
- Practice address
- 8556 Fort Smallwood Rd
Pasadena, MD 21122-2634 - Phone
- (410) 437-4440
- NPI assigned
- Jul 16, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- BARENBURG OPTICAL SERVICE, INC
Authorized official
- Name
- Kathryn Maranto
- Title
- Director of Operations
- Phone
- (410) 752-1677
Corporate family (same tax ID) 5
Practitioners 1
-
Mark B Gordon, O.D.
National Provider Directory
- Tax ID family
- Saranbury Eye Assoc
- Part of
- Saranbury Eye Assoc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
8556 Fort Smallwood Rd
Pasadena, MD 21122-2634
Mailing address
100 Park Ave
Baltimore, MD 21201-3416
Phone (410) 752-1677
Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.