NPI 1053507236
Penn Optical Co. LTD
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
Corneal and Contact Management Optometrist
Pediatric Optometrist
Sports Vision Optometrist
Occupational Vision Optometrist
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.