Provider Demographics
NPI:1467687715
Name:GLAUCOMA PLUS EYE CARE, LLC
Entity Type:Organization
Organization Name:GLAUCOMA PLUS EYE CARE, LLC
Other - Org Name:GLAUCOMA PLUS EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANSHU
Authorized Official - Middle Name:PRASAD
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-715-2212
Mailing Address - Street 1:5550 STERRETT PL STE 312
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2628
Mailing Address - Country:US
Mailing Address - Phone:410-715-2212
Mailing Address - Fax:410-715-2214
Practice Address - Street 1:5550 STERRETT PL STE 312
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2628
Practice Address - Country:US
Practice Address - Phone:410-715-2212
Practice Address - Fax:410-715-2214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-15
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
152W00000X, 207W00000X, 207WX0009X
MDD0064113261QM2500X, 261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic SurgeryGroup - Multi-Specialty