PLATINUM EYES; NPI #1376742270

Contact Information

PLATINUM EYES

45315 ALTON LN
SUITE 16038
CALIFORNIA, MD 20619

Phone: 301-863-6950
Fax: 301-863-6954
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for PLATINUM EYES

NPI # 1376742270

LBN Legal business name PLATINUM EYES

Authorized official DARRYL SMITH - (OPTOMETRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/12/2007

Last updated 09/13/2022 - About 4 years ago

Identifiers

MD	License #	18272823
MD	Medicaid	1920928

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PLATINUM EYES

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for PLATINUM EYES

Reviews for PLATINUM EYES