Provider Demographics
NPI:1467535930
Name:CAPLAN, LEE DAVID (OD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:DAVID
Last Name:CAPLAN
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 1:3700 ASHLEY WAY
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8134 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-3044
Practice Address - Country:US
Practice Address - Phone:410-521-2197
Practice Address - Fax:410-521-4413
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0835152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD30533OtherUNITED HEALTHCARE
MD8090-0001OtherCAREFILRST BC/BS
MD0122732OtherAETNA US HEALTHCARE
MD11189OtherAVESIS
MDT59960Medicare UPIN
MDX583Medicare ID - Type UnspecifiedMEDICARE
MD410006674Medicare PIN
MD11189OtherAVESIS