# GREATER BALTIMORE MEDICAL CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREATER BALTIMORE MEDICAL CENTER, INC.
- **Other names:** GBMC Inc-Hoover Low Vision
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053471920
- **Legal business name:** GREATER BALTIMORE MEDICAL CENTER, INC.
- **Authorized official:** MR. LAURIE BEYER (EXECUTIVE VICE PRESIDENT & CFO)
- **Authorized official phone:** (443) 849-2519

## Contact information

- **Practice address:** 6569 N CHARLES ST, SUITE 305, BALTIMORE, MD 21204-6831
- **Practice address phone:** (443) 849-2658
- **Mailing address:** PO BOX 631568, BALTIMORE, MD 21263-1568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 06/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 547461200 | — | MD |
| 01 | — | K254GB | CAREFIRST MARYLAND | MD |
| 01 | — | S141 | CAREFIRST REGIONAL | MD |