Organization
SEIDENBERG PROTZKO EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID D REED O.D (OPTICAL DIRECTOR)
(443) 643-4505
Entity
Organization
Contact information
Practice address
520 UPPER CHESAPEAKE DR, SUITE 401, BEL AIR, MD 21014-4339
(443) 643-4505
(443) 643-4510
Mailing address
2023 PULASKI HIGHWAY, HAVRE DEGRACE, MD 21078
(410) 939-6477
(410) 939-6555
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
TA1239
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KF61
CAREFIRST BLUESHIELD
MD
01
—
W245
CAREFIRST NCA
MD
Enumeration date
01/02/2007
Last updated
03/19/2009
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