Organization
PROFESSIONAL VISION OF BEL AIR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY R KESSLER O.D. (OWNER/OPTOMETRIST)
(410) 879-1105
Entity
Organization
Contact information
Practice address
530 BALTIMORE PIKE, BEL AIR, MD 21014-4330
(410) 879-1105
Mailing address
530 BALTIMORE PIKE, BEL AIR, MD 21014-4330
(410) 879-1105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
667
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
453046
AETNA
—
Enumeration date
12/05/2007
Last updated
03/25/2014
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