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Contact Information

SHAWN M MUDD, OD
580 E RITCHIE HWY
SEVERNA PARK, MD21146
 Phone: 410-544-7417
 Fax: 410-544-4408
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for SHAWN M MUDD · (Female)

NPI # 1649363946
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/02/2006
Last updated 01/28/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MD License # TA2008
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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