Individual
MOSHE SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10461 MILL RUN CIR STE 100, OWINGS MILLS, MD 21117-5535
(410) 581-0505
Mailing address
10461 MILL RUN CIR STE 100, OWINGS MILLS, MD 21117-5535
(410) 581-0505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1479
MD
152WC0802X
Corneal and Contact Management Optometrist
TA1479
MD
152WP0200X
Pediatric Optometrist
TA1479
MD
152WV0400X
Vision Therapy Optometrist
TA1479
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403911400
—
MD
Enumeration date
08/14/2006
Last updated
11/07/2017
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