Organization
MARY ELLEN PADUSI
Active
Other names
M. Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELLEN PADUSI O.D. (OPTOMETRIST)
(410) 256-1006
Entity
Organization
Contact information
Practice address
4134 E JOPPA RD, SUITE 101, BALTIMORE, MD 21236-2284
(410) 256-1006
(410) 256-0088
Mailing address
4134 E JOPPA RD, SUITE 101, BALTIMORE, MD 21236-2284
(410) 256-1006
(410) 256-0088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0922
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210360-121
NVA
MD
01
—
50070
DAVIS VISION
MD
01
—
613064-02
CAREFIRST/BLUE CROSS&BLUE SHIELD
MD
01
—
613064-03
CAREFIRST/BLUE CROSS & BLUE SHIELD
MD
01
—
940691
EYEMED
MD
Enumeration date
10/21/2008
Last updated
02/27/2014
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