Seidenberg Protzko Eye Associates

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TA1239 Issued in MD

Legal business name

SEIDENBERG PROTZKO EYE ASSOCIATES

Practice address

2023 Pulaski Hwy
Havre de Grace, MD 21078-2137

Phone

(410) 942-9470

Fax

(410) 939-6555

NPI assigned

Oct 17, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca L Brandis

Title

Billing Supervisor

Phone

(410) 942-9476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1396997680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HWY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782137",
            "telephone_number": "410-939-6477",
            "fax_number": "410-939-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HWY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782137",
            "telephone_number": "410-942-9470",
            "fax_number": "410-939-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIDENBERG PROTZKO EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "BRANDIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "410-942-9476",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MD",
            "license": "TA1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel George Scott, DPT, PT
• Donna Benson Scott
• Samantha Scott
• Ralph Dalton Scoville, M.D.
• Seidenberg Protzko Eye Associates
• Jonathan Alan Seidenberg, M.D.
• Keri Seitler, LCPC
• Shabnam Naseer DO, LLC
• Kunal Shah
• Allison Sheehe, M.S. CCC-SLP

• Eyewear Supplier in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Eyewear Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.