Eye Restoration Clinic Inc. in Upper Marlboro - Customized Equipment
Eye Restoration Clinic Inc. - NPI 1174668693
Eye Restoration Clinic Inc. is a Customized Equipment in Upper Marlboro, Maryland. Eye Restoration Clinic Inc. practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Eye Restoration Clinic Inc. is 1174668693. The last update date is 2012-03-21.
Eye Restoration Clinic Inc.'s current location address is 9450 Pennsylvania Ave, Upper Marlboro, Maryland. You can contact this provider via phone number 3015996300 and fax number 3015990578. The mailing address for Eye Restoration Clinic Inc. is 9450 Pennsylvania Ave, Upper Marlboro, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eye Restoration Clinic Inc. |
|---|---|
| Address | 9450 Pennsylvania Ave, Upper Marlboro, Maryland |
| Phone Number | 3015996300 |
| Fax Number | 3015990578 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Meakem Thomas |
| Credentials | OCULARIST |
| Telephone Number | 3015996300 |
NPI Number Detail
| NPI Number | 1174668693 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2012-03-21 |
Provider Mailing Address Detail
| Address | 9450 Pennsylvania Ave |
|---|---|
| City | Upper Marlboro |
| State | Maryland (MD) |
| Post Code | 207723665 |
| Phone Number | 3015996300 |
| Fax Number | 3015990578 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30877 | MD | KAISER PERMANANTE | |
| 406540466 | DC | MEDICARE RR | |
| 23053600 | DC | -- | |
| 468228900 | MD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Eye Restoration Clinic Inc. by the Centers for Medicare & Medicaid Services?
The Eye Restoration Clinic Inc. has been assigned the NPI (National Provider Identifier) 1174668693. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Eye Restoration Clinic Inc.?
The Eye Restoration Clinic Inc. is situated at 9450 Pennsylvania Ave, in the city of Upper Marlboro, state of MD, with the zip code 207723665.
What is Eye Restoration Clinic Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eye Restoration Clinic Inc. is Customized Equipment, and the taxonomy code that classifies this field of practice is 332Bc3200X.
On what date did Eye Restoration Clinic Inc. receive its 1174668693 assignment from the Centers for Medicare & Medicaid Services?
The Eye Restoration Clinic Inc. was assigned its 1174668693 on 2007-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Eye Restoration Clinic Inc. most recently updated or refreshed?
The details pertaining to the Eye Restoration Clinic Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2012-03-21.
NPI Number: 1639173222
Address: Po Box 40908, Fayetteville, NC