Provider Demographics
NPI:1861675894
Name:WESTMINSTER FAMILY VISION CENTER, INC.
Entity Type:Organization
Organization Name:WESTMINSTER FAMILY VISION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOOPER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:410-828-8100
Mailing Address - Street 1:5 CARROLL PLZ
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-4601
Mailing Address - Country:US
Mailing Address - Phone:410-848-9243
Mailing Address - Fax:410-876-0841
Practice Address - Street 1:5 CARROLL PLZ
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-4601
Practice Address - Country:US
Practice Address - Phone:410-848-9243
Practice Address - Fax:410-876-0841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0818152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0599970001Medicare NSC