Individual
EDWARD E SAUBLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6 ANTRIM ST, TANEYTOWN, MD 21787-2237
(410) 756-1160
Mailing address
6 ANTRIM ST, TANEYTOWN, MD 21787-2237
(410) 751-1160
(410) 756-2530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0844
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111658400
—
MD
05
—
351618100
—
MD
01
—
402409-02
CAREFIRST
MD
01
—
LX71LO
CAREFIRST
MD
01
—
X653EE
CAREFIRST
MD
Enumeration date
10/07/2005
Last updated
09/17/2020
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