Mund, Charles R

Mund, Charles R is an individual health care provider with primary practice located at 5701 Greenbelt Rd , Berwyn Heights MD 20740-2257. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Mund, Charles R can be contacted via phone (301) 345-2053.

Contact Information

Primary practice address
5701 Greenbelt Rd Berwyn Heights MD 20740-2257
Phone: (301) 345-2053
Fax: (301) 441-1752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TAO866 Maryland
Eye and Vision Services Providers / Vision Therapy 152WV0400X TAO866 Maryland

Profile Details

NPI number 1629029012
LBN Legal business name Mund, Charles R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 15th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629029012 NPPES
Maryland MEDICAID 091730300
Maryland Other 1003325
Maryland Other 271019
Maryland Other 89160003

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