Organization Active NPI

Ophthalmic Photography Inc

  • Clinical Medical Laboratory
  • Baltimore, MD
National Provider Identifier
1942425905
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OPHTHALMIC PHOTOGRAPHY INC
Practice address
3131 Enclave CT
Baltimore, MD 21208-3337
Phone
(410) 328-6533
Fax
(410) 328-1178
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Robert A Liss, MDNPI 1235125402
Title
Managing Partner
Phone
(410) 328-5934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3131 Enclave CT
Baltimore, MD 21208-3337

Mailing address

3131 Enclave CT
Baltimore, MD 21208-3337
Phone (410) 328-6533

Other identifiers 1

IdentifierTypeStateIssuer
780271400MedicaidMD

National Provider Directory

National Provider Directory

Locations

2 Hamill Rd
Ste 315
Baltimore, MD 21210
Phone (410) 433-8380

Practitioners & affiliated clinicians

Practitioners 1

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1942425905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ENCLAVE CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083337",
            "telephone_number": "410-328-6533",
            "fax_number": "410-328-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 ENCLAVE CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083337",
            "telephone_number": "410-328-6533",
            "fax_number": "410-328-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC PHOTOGRAPHY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "LISS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "410-328-5934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780271400",
            "state": "MD"
        }
    ],
    "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 May 20, 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.