Whalio Doctors

NPI 1053507236

Penn Optical Co. LTD

Organisation Optometrist Baltimore, MD

Practice location

Address
2122 E Monument St, Baltimore, MD 21205-2334
Phone
(410) 327-7070
Fax
(410) 327-7072
Mailing address
5006 Sinclair Ln, Baltimore, MD 21206-5936

Authorised official

Name
Richard Bradley Fuss
Title
President
Phone
(410) 327-7070

Registered specialties (5)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X
Corneal and Contact Management Optometrist
Eye and Vision Services Providers Taxonomy 152WC0802X
Pediatric Optometrist
Eye and Vision Services Providers Taxonomy 152WP0200X
Sports Vision Optometrist
Eye and Vision Services Providers Taxonomy 152WS0006X
Occupational Vision Optometrist
Eye and Vision Services Providers Taxonomy 152WX0102X

Registry record

NPI
1053507236
Entity type
Organization
NPI issued
20 Sep 2007
Record last updated
20 Sep 2007

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.