South Baltimore Eye Associtate Inc.

Optometrist · Baltimore, MD

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At a glance

1029 Light St, Baltimore, MD 21230-4017

NPPES record updated May 17, 2011. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1029 Light St
Baltimore, MD 21230-4017

Professional details: NPI, taxonomy & registry record

NPI1003978180

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Registry details

Primary taxonomy: Optometrist
Taxonomy code: 152W00000X
Enumeration date: Dec 14, 2006
Record updated: May 17, 2011

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Optometrist

152W00000X · Primary

License reported: TA0876 MD

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1029 Light St
Baltimore, MD 21230-4017

Phone: (410) 752-8208
Fax: (410) 752-7144

Mailing address

1029 LIGHT ST

BALTIMORE, MD 212304017

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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