Organization
SALASA II, LLC
Active
Other names
Levin Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA O'NEIL (PRACTICE MANAGER)
(410) 665-1779
Entity
Organization
Contact information
Practice address
517 E BELVEDERE AVE, BALTIMORE, MD 21212-3745
(410) 467-7727
(410) 668-0614
Mailing address
517 E BELVEDERE AVE, BALTIMORE, MD 21212-3745
(410) 467-7727
(410) 668-0614
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0640
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415598000
—
MD
Enumeration date
01/21/2016
Last updated
04/11/2017
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