Organization
OPTICALCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS S MARTYN OPTICIAN (OWNER)
(410) 761-0098
Entity
Organization
Contact information
Practice address
300 HOSPITAL DR, SUITE 121, GLEN BURNIE, MD 21061-6902
(410) 761-0078
(410) 760-0353
Mailing address
300 HOSPITAL DR, SUITE 121, GLEN BURNIE, MD 21061
(410) 761-0078
(410) 761-0353
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53281002
MD PROVIDER NUMBER
MD
Enumeration date
08/09/2007
Last updated
05/24/2013
Update your record
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