Provider Demographics
NPI:1124460118
Name:OPTICIANS.COM INC
Entity type:Organization
Organization Name:OPTICIANS.COM INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OD
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-450-3376
Mailing Address - Street 1:1425 UNIVERSITY BLVD E
Mailing Address - Street 2:SUITE 159
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4618
Mailing Address - Country:US
Mailing Address - Phone:240-450-3376
Mailing Address - Fax:
Practice Address - Street 1:1425 UNIVERSITY BLVD E
Practice Address - Street 2:SUITE 159
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4618
Practice Address - Country:US
Practice Address - Phone:240-450-3376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty