Individual
DR. CARL M WAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 N CENTER ST, SEARS OPTICAL, WESTMINSTER, MD 21157-5140
(410) 857-0413
Mailing address
920 PROVIDENCE RD, STE 100, TOWSON, MD 21286-2976
(410) 486-1010
(443) 895-4822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0764
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210357
NAT'L VISION ADMIN
MD
01
—
30925
MDIPA/OPTIMUM CHOICE
MD
01
—
40285
COLE MANAGED VIS.
MD
01
—
410048221
RAILROAD MEDICARE
MD
01
—
5167502
AETNA
MD
01
—
8292-0001
BLUE CHOICE
MD
01
—
911041
BLOCK VISION
MD
01
—
940285
EYEMED VISION CARE
MD
05
—
974268900
—
MD
01
—
X812
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
08/19/2005
Last updated
02/25/2020
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