Provider Demographics
NPI:1003111014
Name:ACCURATE OPTICAL OF OCEAN PINES INC
Entity Type:Organization
Organization Name:ACCURATE OPTICAL OF OCEAN PINES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-749-1545
Mailing Address - Street 1:11031 NICHOLAS LN STE 2
Mailing Address - Street 2:OCEAN PINES VILLAGE SQUARE
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-3296
Mailing Address - Country:US
Mailing Address - Phone:410-208-4604
Mailing Address - Fax:410-641-5854
Practice Address - Street 1:11031 NICHOLAS LN STE 2
Practice Address - Street 2:OCEAN PINES VILLAGE SQUARE
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-3296
Practice Address - Country:US
Practice Address - Phone:410-208-4604
Practice Address - Fax:410-641-5854
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCURATE OPTICAL CO INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-22
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD219587OtherMEDICARE PTAN
MD227706900Medicaid
6586690001Medicare NSC
MD227706900Medicaid