Eye Restoration Clinic Inc.

LBN: Eye Restoration Clinic Inc.
Eye Restoration Clinic Inc. is an health care organization with primary practice located at 9450 Pennsylvania Ave Suite #15, Upper Marlboro MD 20772-3665. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Ocularist, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty. Eye Restoration Clinic Inc. can be contacted via phone (301) 599-6300, or through Meakem, Thomas via phone (301) 599-6300.

Contact Information

Primary practice address
9450 Pennsylvania Ave Suite #15 Upper Marlboro MD 20772-3665
Phone: (301) 599-6300
Fax: (301) 599-0578
Website:
Map and Directions
Authorized official contact:
Name: Meakem, Thomas OCULARIST
Phone: (301) 599-6300

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X 3853 Maryland
Suppliers / Customized Equipment 332BC3200X Maryland

Profile Details

NPI number 1174668693
LBN Legal business name Eye Restoration Clinic Inc.
DBA Doing business as
Authorized official Meakem, Thomas OCULARIST
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Mar 21st, 2012 - about 14 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 1174668693 NPPES
Maryland Other 30877 KAISER PERMANANTE
Maryland Other 406540466 KAISER PERMANANTE
Maryland MEDICAID 023053600 KAISER PERMANANTE
Maryland MEDICAID 468228900 KAISER PERMANANTE

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