Provider Demographics
NPI:1124044755
Name:UNIVERSITY OF MARYLAND EYE ASSOCIATES
Entity Type:Organization
Organization Name:UNIVERSITY OF MARYLAND EYE ASSOCIATES
Other - Org Name:UNIVERSITY OF MARYLAND OPTICAL SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOCIATE PROFESSOR/ACTING CHAIR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMZI
Authorized Official - Middle Name:KAMAL
Authorized Official - Last Name:HEMADY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-328-5929
Mailing Address - Street 1:419 W REDWOOD ST
Mailing Address - Street 2:SUITE 580
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1734
Mailing Address - Country:US
Mailing Address - Phone:410-328-5929
Mailing Address - Fax:410-328-6346
Practice Address - Street 1:419 W REDWOOD ST
Practice Address - Street 2:SUITE 420
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1734
Practice Address - Country:US
Practice Address - Phone:410-328-3947
Practice Address - Fax:410-328-1178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1306030001Medicare NSC