Individual
AHAVA OPPENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12621 WATERSPOUT CT, OWINGS MILLS, MD 21117-1028
(443) 621-0756
Mailing address
7028 WALLIS AVE, BALTIMORE, MD 21215-1711
(917) 406-8264
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
DA2274
MD
152W00000X
Optometrist
TUV006666
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02443158
—
NY
01
—
P00987185
RAILROAD MEDICARE
MD
Enumeration date
07/26/2006
Last updated
01/15/2012
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