NPI 1013047125

Harbor Eyes Optical INC

Organisation Customized Equipment (DME) Baltimore, MD

Practice location

Address: 3001 S Hanover St Gruehn Building Suite 100, Baltimore, MD 21225-1233
Phone: (410) 354-6401
Fax: (410) 354-6401

Authorised official

Name: Geneavee Bank
Title: President
Phone: (410) 354-6401

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence 30250532 (MD)

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Registry record

NPI: 1013047125
Entity type: Organization
NPI issued: 7 Mar 2007
Record last updated: 18 Jan 2008

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.