Organization
ADVANTICA BALTIMORE , LCC
Active
Other names
Advantica EyeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA SAUER (CHIEF OPERATIONS OFFICER)
(866) 425-2323
Entity
Organization
Contact information
Practice address
3290 PINE ORCHARD LN, SUITE D, ELLICOTT CITY, MD 21042-2374
(866) 425-2323
Mailing address
3290 PINE ORCHARD LN, SUITE D, ELLICOTT CITY, MD 21042-2374
(866) 425-2323
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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