Richard Craig Edlow in Catonsville - Optometrist

Richard Craig Edlow - NPI 1104822899

Richard Craig Edlow is a Optometrist in Catonsville, Maryland. Richard Craig Edlow practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Richard Craig Edlow is 1104822899. The last update date is 2012-07-06.

Richard Craig Edlow's current location address is 611 Frederick Rd, Catonsville, Maryland. You can contact this provider via phone number 4107471221. The mailing address for Richard Craig Edlow is 611 Frederick Rd, Catonsville, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Craig Edlow
Address 611 Frederick Rd, Catonsville, Maryland
Phone Number 4107471221
Fax Number
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1104822899
Provider Enumeration Date 2005-06-27
Last Updated Date 2012-07-06

Provider Mailing Address Detail

Address 611 Frederick Rd
City Catonsville
State Maryland (MD)
Post Code 2122847790
Phone Number 4107471221
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No TA0787
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
69770802 MD CAREFIRST BCBS
410029001 MD RAILROAD MEDICARE

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FAQs about Richard Craig Edlow

What is the unique identifier code issued to Richard Craig Edlow by the Centers for Medicare & Medicaid Services (CMS)?

The Richard Craig Edlow has been assigned the NPI (National Provider Identifier) 1104822899. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Richard Craig Edlow located?

The Richard Craig Edlow is located at 611 Frederick Rd, Catonsville, MD 2122847790.

What is Richard Craig Edlow's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Richard Craig Edlow's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1104822899 to Richard Craig Edlow?

The Richard Craig Edlow received its 1104822899 assignment from the Centers for Medicare & Medicaid Services on 2005-06-27.

As of what date was the information pertaining to Richard Craig Edlow, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard Craig Edlow, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-07-06.

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