Provider Demographics
NPI:1093820284
Name:ALIANIELLO EYE CARE, INC.
Entity Type:Organization
Organization Name:ALIANIELLO EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:ALIANIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:410-593-9818
Mailing Address - Street 1:11824 BELAIR RD
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21087-1314
Mailing Address - Country:US
Mailing Address - Phone:410-593-9818
Mailing Address - Fax:410-593-9828
Practice Address - Street 1:11824 BELAIR RD
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21087-1314
Practice Address - Country:US
Practice Address - Phone:410-593-9818
Practice Address - Fax:410-593-9828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1390152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD174032Medicare PIN