Active NPI
Select Eye Care PA
- Optometrist
- Towson, MD
National Provider Identifier
1356435572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1383
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LS06 | Other | MP | BCBS OF MARYLAND |
| 845124900 | Medicaid | MD | |
| 026421100 | Medicaid | MD | |
| 366302700 | Medicaid | MD | |
| E689000 | Other | DC | BCBS CHOICE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Towson, MD
- NPI 1194727503
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.