Individual provider Active NPI

Ronald Lester Eisenstein, OPTICIAN

  • Optician
  • Westminster, MD
National Provider Identifier
1376733261
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
840 Issued in VA
Practice address
200 Washington Heights Med Ctr
Westminster, MD 21157-5633
Phone
(410) 848-6660
Fax
(410) 848-5314
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 840 VA Primary

Addresses

Primary practice location

200 Washington Heights Med Ctr
Westminster, MD 21157-5633

Mailing address

200 Washington Heights Med Ctr
Westminster, MD 21157-5633
Phone (410) 848-6660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
840VAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1376733261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON HEIGHTS MED CTR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575633",
            "telephone_number": "410-848-6660",
            "fax_number": "410-848-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON HEIGHTS MED CTR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575633",
            "telephone_number": "410-848-6660",
            "fax_number": "410-848-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENSTEIN",
        "first_name": "RONALD",
        "middle_name": "LESTER",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.