Dr. Alisa Mandel

LBN: Dr. Alisa Mandel
Dr. Alisa Mandel is an health care organization with primary practice located at 305 Reisterstown Rd , Pikesville MD 21208-5313. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr. Alisa Mandel can be contacted via phone (410) 406-7951, or through Mandel, Alisa via phone (410) 963-2977.

Contact Information

Primary practice address
305 Reisterstown Rd Pikesville MD 21208-5313
Phone: (410) 406-7951
Fax: (443) 648-9001
Website:
Map and Directions
Authorized official contact:
Name: Mandel, Alisa Doctor of Optometry (OD)
Phone: (410) 963-2977

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1033726203
LBN Legal business name Dr. Alisa Mandel
DBA Doing business as
Authorized official Mandel, Alisa Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2020
Last updated Sep 30th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033726203 NPPES
Maryland MEDICAID 402210600

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