Provider Demographics
NPI:1437167004
Name:GETZ, STEPHEN H (OD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:H
Last Name:GETZ
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 1:1800 HARFORD RD
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-2546
Mailing Address - Country:US
Mailing Address - Phone:410-877-9000
Mailing Address - Fax:
Practice Address - Street 1:1800 HARFORD RD
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2546
Practice Address - Country:US
Practice Address - Phone:410-877-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTAO698152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1679754980OtherNPI
MD0339200001Medicare NSC