Seidenberg Protzko Eye Associates

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TA1239 Issued in MD

Legal business name

SEIDENBERG PROTZKO EYE ASSOCIATES

Practice address

520 Upper Chesapeake Dr
Suite 401
Bel Air, MD 21014-4339

Phone

(443) 643-4505

Fax

(443) 643-4510

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David D Reed, O.D

Title

Optical Director

Phone

(443) 643-4505

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1720145766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HIGHWAY",
            "city": "HAVRE DEGRACE",
            "state": "MD",
            "postal_code": "21078",
            "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": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 401",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-4505",
            "fax_number": "443-643-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIDENBERG PROTZKO EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTICAL DIRECTOR",
        "authorized_official_telephone_number": "443-643-4505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MD",
            "license": "TA1239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUESHIELD",
            "identifier": "KF61",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST NCA",
            "identifier": "W245",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Bognanni Sebo, FNP-C
• Kelly Seckman, LCSW-C
• Rachel Marie Sedlak, OT
• Laura J Seed, M.D.
• Jennifer Michelle Seibel, PA-C
• Amalia Seiguer, M.D.
• Select Physical Therapy Holdings Inc
• Franklin Sellers
• Mollie Rachel Selmanoff, LCSW-C
• Sensible Sleep Services LLC

• Eyewear Supplier in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Eyewear Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.