# BALTIMORE OPHTHALMOLOGY, LLC

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

## Provider details

- **NPI number:** 1528569233
- **Authorized official:** RYAN HAHN (MEDICAL DIRECTOR)
- **Authorized official phone:** (410) 764-9360

## Contact information

- **Practice address:** 6418 REISTERSTOWN RD, BALTIMORE, MD 21215-2308
- **Practice address phone:** (410) 318-8855
- **Practice address fax:** (410) 764-3229
- **Mailing address:** 6418 REISTERSTOWN RD, BALTIMORE, MD 21215-2308
- **Mailing address phone:** (410) 318-8855
- **Mailing address fax:** (410) 764-3229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2018
- **Last updated:** 02/27/2018