Organization
SELECT EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT E LABORWIT MD (SECRETARY)
(410) 821-6400
Entity
Organization
Contact information
Practice address
8601 LASALLE RD, 108, TOWSON, MD 21286-2005
(410) 821-6400
(410) 339-3846
Mailing address
8601 LASALLE RD, 108, TOWSON, MD 21286-2005
(410) 821-6400
(410) 339-3846
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1383
MD
207W00000X
Ophthalmology Physician
D0006791
MD
207W00000X
Ophthalmology Physician
D0050028
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026421100
—
MD
05
—
366302700
—
MD
05
—
845124900
—
MD
01
—
E689000
BCBS CHOICE
DC
01
—
LS06
BCBS OF MARYLAND
MP
Enumeration date
10/03/2006
Last updated
04/04/2013
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