EAGLE EYE CARE, P.A.; NPI #1467593582

Contact Information

EAGLE EYE CARE, P.A.

6350 STEVENS FOREST RD
SUITE 101
COLUMBIA, MD 21046-3231

Phone: 410-964-8516
Fax: 410-740-8626
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 EAGLE EYE CARE, P.A.

NPI # 1467593582

LBN Legal business name EAGLE EYE CARE, P.A.

Authorized official FRED SIROTKIN - (OWNER-OPTOMETRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/09/2007

Last updated 04/16/2010 - About 16 years ago

Identifiers

License #

TA 0870

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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EAGLE EYE CARE, P.A.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for EAGLE EYE CARE, P.A.

Reviews for EAGLE EYE CARE, P.A.