NPI 1003978180

South Baltimore Eye Associtate INC.

Organisation Optometrist Baltimore, MD

Practice location

Address: 1029 Light St, Baltimore, MD 21230-4017
Phone: (410) 752-8208
Fax: (410) 752-7144

Authorised official

Name: Calvert Ross Bregel
Title: Owner
Phone: (410) 752-8208

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TA0876 (MD)

Other Optometrist providers in Maryland →

Registry record

NPI: 1003978180
Entity type: Organization
NPI issued: 14 Dec 2006
Record last updated: 17 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.