Organization Active NPI

Optical Industries

  • Optician
  • Baltimore, MD
National Provider Identifier
1386830271
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
30291298 Issued in MD
Legal business name
OPTICAL INDUSTRIES
Practice address
3020 Liberty Heights Ave
Baltimore, MD 21215-7442
Phone
(410) 664-9436
Fax
(443) 524-2302
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Mr. Andre' H. SmithNPI 1487681540
Title
President/Optician
Phone
(410) 664-9436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X 30291298 MD Primary

Addresses

Primary practice location

3020 Liberty Heights Ave
Baltimore, MD 21215-7442

Mailing address

3020 Liberty Heights Ave
Baltimore, MD 21215-7442
Phone (410) 664-9436

Other identifiers 1

IdentifierTypeStateIssuer
54860701OtherMDCAREFIRST BC BS

Other names 1

  • Ashburton Opticians, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

3020 Liberty Heights Ave
Baltimore, MD 21215
Phone (410) 664-9436

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1386830271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157442",
            "telephone_number": "410-664-9436",
            "fax_number": "443-524-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157442",
            "telephone_number": "410-664-9436",
            "fax_number": "443-524-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANDRE'",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT/OPTICIAN",
        "authorized_official_telephone_number": "410-664-9436",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MD",
            "license": "30291298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "54860701",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashburton Opticians, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.