# BARENBURG OPTOMETRIC SERVICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073858759
- **Authorized official:** MARK B GORDON (PRESIDENT)
- **Authorized official phone:** (410) 752-1677

## Contact information

- **Practice address:** 100 PARK AVE, BALTIMORE, MD 21201-3416
- **Practice address phone:** (410) 752-1677
- **Mailing address:** 100 PARK AVE, BALTIMORE, MD 21201-3416
- **Mailing address phone:** (410) 752-1677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D0074366 | MD | Yes |

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 12/06/2012