Provider Demographics
NPI:1528183191
Name:BFT VISION INC
Entity Type:Organization
Organization Name:BFT VISION INC
Other - Org Name:SEVERNA PARK EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTS SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BLODGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-544-7417
Mailing Address - Street 1:580 RITCHIE HWY
Mailing Address - Street 2:SUITE E
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-3924
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:139 RITCHIE HWY STE B
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-1152
Practice Address - Country:US
Practice Address - Phone:410-544-7417
Practice Address - Fax:410-544-4408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0737152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1649363946Medicare UPIN
MD0708230001Medicare NSC
MDT31220Medicare UPIN
MD1477651248Medicare UPIN