Organization Active NPI

Professional Vision Associates, Inc.

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1720141963
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0670 Issued in MD
Legal business name
PROFESSIONAL VISION ASSOCIATES, INC.
Practice address
9613-I Harford Road
Baltimore, MD 21234
Phone
(410) 665-6200
Fax
(410) 665-6323
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Dr. Frank Setren, OD
Title
Owner
Phone
(410) 665-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA0670 MD Primary

Addresses

Primary practice location

9613-I Harford Road
Baltimore, MD 21234

Mailing address

9613-I Harford Road
Baltimore, MD 21234
Phone (410) 665-6200

National Provider Directory

National Provider Directory

Locations

9613 Harford Rd
Parkville, MD 21234
Phone (410) 665-9514

720 Dulaney Valley Rd
Towson, MD 21204
Phone (410) 823-1343

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1720141963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613-I HARFORD ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21234",
            "telephone_number": "410-665-6200",
            "fax_number": "410-665-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613-I HARFORD ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21234",
            "telephone_number": "410-665-6200",
            "fax_number": "410-665-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL VISION ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "SETREN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-665-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2008; 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.