Active NPI
Baltimore Ophthalmology, LLC
- Ophthalmology Physician
- Baltimore, MD
National Provider Identifier
1528569233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- BALTIMORE OPHTHALMOLOGY, LLC
- Practice address
- 6418 Reisterstown Rd
Baltimore, MD 21215-2308 - Phone
- (410) 318-8855
- Fax
- (410) 764-3229
- NPI assigned
- Feb 27, 2018
- 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
- Ryan Hahn
- Title
- Medical Director
- Phone
- (410) 764-9360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
6418 Reisterstown Rd
Baltimore, MD 21215-2308
Mailing address
6418 Reisterstown Rd
Baltimore, MD 21215-2308
Phone (410) 318-8855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6418 Reisterstown Rd
Baltimore, MD 21215
Phone (410) 318-8855
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Arnold, MD
- NPI 1982632402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519689600000",
"number": "1528569233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6418 REISTERSTOWN RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212152308",
"telephone_number": "410-318-8855",
"fax_number": "410-764-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6418 REISTERSTOWN RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212152308",
"telephone_number": "410-318-8855",
"fax_number": "410-764-3229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALTIMORE OPHTHALMOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-27",
"last_updated": "2018-02-27",
"status": "A",
"authorized_official_last_name": "HAHN",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "410-764-9360"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Baltimore Medical System, Inc.
- Baltimore Medical Systems, Inc. (Baltimore Medical Systems, Inc. Pharmacy At St. Agnes)
- Baltimore Mental Health Systems, LLC
- Baltimore North Smiles Youth Dentistry, PC
- Baltimore Oncology Hematology Associates LLC
- Baltimore Optical Inc (Charm City Optical)
- Baltimore Optical Inc
- Baltimore Orioles Limited Partnership
- Baltimore Pain Management Center PA
- Baltimore Podiatry Group, Dr. Benjamin Kleinman P.a. (Baltimore Podiatry Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.