Organization Active NPI

Arturo Betancourt, M.D., P.a.

Doing business as Baltimore Washington Eye Center

  • Eyewear Supplier
  • Glen Burnie, MD
National Provider Identifier
1598838104
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
ARTURO BETANCOURT, M.D., P.A.
Doing business as
Baltimore Washington Eye Center
Practice address
200 Hospital Dr Ste 600
Glen Burnie, MD 21061-5865
Phone
(410) 766-3937
Fax
(410) 531-7717
NPI assigned
Nov 15, 2006
Last updated
Mar 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Arturo Esteban BetancourtNPI 1457356271
Title
Ceo
Phone
(410) 766-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

200 Hospital Dr Ste 600
Glen Burnie, MD 21061-5865

Mailing address

6100 Daylong LN
Suite 207
Clarksville, MD 21029-1626
Phone (410) 537-2208

Other identifiers 1

IdentifierTypeStateIssuer
605221500MedicaidMD

Other names 1

  • Baltimore Washington Eye Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arturo Betancourt MD PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6100 Daylong Ln
Ste 207
Clarksville, MD 21029
Phone (410) 531-2280

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1598838104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 DAYLONG LN",
            "address_2": "SUITE 207",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291626",
            "telephone_number": "410-537-2208",
            "fax_number": "410-531-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR STE 600",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615865",
            "telephone_number": "410-766-3937",
            "fax_number": "410-531-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTURO BETANCOURT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_middle_name": "ESTEBAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-766-3937"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "605221500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baltimore Washington Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baltimore Washington Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.