NPI 1104283100

Salasa II, LLC

Organisation Optometrist Baltimore, MD

Practice location

Address: 517 E Belvedere Ave, Baltimore, MD 21212-3745
Phone: (410) 467-7727
Fax: (410) 668-0614

Authorised official

Name: Amanda O'Neil
Title: Practice Manager
Phone: (410) 665-1779

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TA0640 (MD)

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Registry record

NPI: 1104283100
Entity type: Organization
NPI issued: 21 Jan 2016
Record last updated: 11 Apr 2017

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.