Provider Demographics
NPI:1013675826
Name:MURPHY, MICHAEL P (OPTICIAN ABO CERTIFI)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:P
Last Name:MURPHY
Suffix:
Gender:M
Credentials:OPTICIAN ABO CERTIFI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6232
Mailing Address - Country:US
Mailing Address - Phone:410-967-8764
Mailing Address - Fax:
Practice Address - Street 1:530 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6232
Practice Address - Country:US
Practice Address - Phone:410-967-8764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician