Organization Active NPI

Select Eye Care PA

  • Optometrist
  • Towson, MD
National Provider Identifier
1356435572
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1383 Issued in MD
Legal business name
SELECT EYE CARE PA
Practice address
8601 Lasalle Rd
108
Towson, MD 21286-2005
Phone
(410) 821-6400
Fax
(410) 339-3846
NPI assigned
Oct 3, 2006
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Dr. Scott E Laborwit, MD
Title
Secretary
Phone
(410) 821-6400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1383 MD Primary
Ophthalmology Physician 207W00000X D0050028 MD
Ophthalmology Physician 207W00000X D0006791 MD

Addresses

Primary practice location

8601 Lasalle Rd
108
Towson, MD 21286-2005

Mailing address

8601 Lasalle Rd
108
Towson, MD 21286-2005
Phone (410) 821-6400

Other identifiers 5

IdentifierTypeStateIssuer
LS06OtherMPBCBS OF MARYLAND
845124900MedicaidMD
026421100MedicaidMD
366302700MedicaidMD
E689000OtherDCBCBS CHOICE

National Provider Directory

National Provider Directory

Locations

1 Village Sq
Ste 190
Baltimore, MD 21210
Phone (410) 435-8881

9150 Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 465-4666

1220A E Joppa Rd
Ste 116
Towson, MD 21286
Phone (410) 296-4720

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1356435572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 LASALLE RD",
            "address_2": "108",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862005",
            "telephone_number": "410-821-6400",
            "fax_number": "410-339-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 LASALLE RD",
            "address_2": "108",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862005",
            "telephone_number": "410-821-6400",
            "fax_number": "410-339-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "LABORWIT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "410-821-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1383",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0050028",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0006791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MARYLAND",
            "identifier": "LS06",
            "state": "MP"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "845124900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026421100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366302700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CHOICE",
            "identifier": "E689000",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.