Provider Demographics
NPI:1275525750
Name:KOVENS, ARTHUR SHELDON (OD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:SHELDON
Last Name:KOVENS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MOUNT CARMEL RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:PARKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21120-9706
Mailing Address - Country:US
Mailing Address - Phone:410-329-6700
Mailing Address - Fax:410-357-0278
Practice Address - Street 1:111 MOUNT CARMEL RD
Practice Address - Street 2:SUITE 600
Practice Address - City:PARKTON
Practice Address - State:MD
Practice Address - Zip Code:21120-9706
Practice Address - Country:US
Practice Address - Phone:410-329-6700
Practice Address - Fax:410-357-0278
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0751152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT59951Medicare UPIN
MDX398Medicare ID - Type Unspecified