Provider Demographics
NPI:1538182944
Name:EYE SEE OPTICAL
Entity type:Organization
Organization Name:EYE SEE OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-881-6232
Mailing Address - Street 1:5268 NICHOLSON LN STE D
Mailing Address - Street 2:WHITE FLINT PLAZA
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1010
Mailing Address - Country:US
Mailing Address - Phone:301-881-6232
Mailing Address - Fax:301-881-6234
Practice Address - Street 1:5268 NICHOLSON LN STE D
Practice Address - Street 2:WHITE FLINT PLAZA
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-1010
Practice Address - Country:US
Practice Address - Phone:301-881-6232
Practice Address - Fax:301-881-6234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15215533332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD52-1777649OtherUNITED/DR. PAUL
MD923004-024743Medicaid
MD64120201OtherBCBS/EYE SEE
MD213335OtherNVA/EYE SEE
MD33138OtherAVESIS/ DR. PAUL
MD52-1777649OtherSUPERIOR VISION/DR. PAUL
MDOP0787OtherEYE MED/ EYE SEE
MD50371OtherDAVIS VISION/EYE SEE
MD913150-024743Medicaid
MDOP0848OtherEYE MED/ MIKE CRAWFORD
MD50370OtherDAVIS VISION/DR. PAUL
MD118585OtherEYE MED/DR. PAUL
MD33139OtherAVESIS/EYE SEE
MD25667OtherSPECTERA
MD4239296OtherAETNA/DR. PAUL
MD52-1777649OtherEYE BENEFITS/ DR. PAUL
MD52-1777649OtherUNITED/DR. PAUL
MD4239296OtherAETNA/DR. PAUL
MDOP0787OtherEYE MED/ EYE SEE