Provider Demographics
NPI:1851495972
Name:STEINMETZ OPTICAL INC
Entity Type:Organization
Organization Name:STEINMETZ OPTICAL INC
Other - Org Name:COCKEYSVILLE OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:STEINMETZ
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN ABO
Authorized Official - Phone:410-666-0610
Mailing Address - Street 1:18 CRANBROOK RD
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3404
Mailing Address - Country:US
Mailing Address - Phone:410-666-0610
Mailing Address - Fax:410-666-2146
Practice Address - Street 1:18 CRANBROOK RD
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-3404
Practice Address - Country:US
Practice Address - Phone:410-666-0610
Practice Address - Fax:410-666-2146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
06304156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1322230001Medicare NSC