Organization
CHESAPEAKE BAY OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR COCKRAN (OPTICIAN)
(410) 841-1909
Entity
Organization
Contact information
Practice address
2003 MEDICAL PKWY, SUITE G90, ANNAPOLIS, MD 21401-7992
(410) 841-1909
(410) 571-8624
Mailing address
2003 MEDICAL PARKWAY, SUITE G90, ANNAPOLIS, MD 21401
(410) 841-1909
(410) 571-8624
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
02207819
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02207819
STATE LICENSE
MD
01
—
XY29CH
BLUE SHIELD
MD
Enumeration date
05/23/2007
Last updated
08/22/2020
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