Individual
DR. EUGENE STEPHAN CHANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
166 BAUGHMAN'S LANE, CHANNING VISION-EYE CARE, INC., FREDERICK, MD 21702-4083
(301) 663-1177
Mailing address
166 BAUGHMAN'S LANE, CHANNING VISION-EYE CARE, INC., FREDERICK, MD 21702-4083
(301) 663-1177
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002831
NY
152W00000X
Optometrist
0618000256
VA
152W00000X
Optometrist
27OA00280800
NJ
152W00000X
Optometrist
OEG001617
PA
152W00000X
Optometrist
OP593
DC
152W00000X
Optometrist
Primary
TAO967
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52-2219623
TRICARE NORTH
—
01
—
545435-01KAN6CH
CAREFIRST BLUECROSS BLUESHIELD
MD
01
—
F234-0001
CAREFIRST BLUECROSS BLUESHIELD
DC
Enumeration date
02/26/2010
Last updated
03/07/2023
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