Provider Demographics
NPI:1194763128
Name:GLOBAL VISION CENTER
Entity type:Organization
Organization Name:GLOBAL VISION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-663-8393
Mailing Address - Street 1:2429 CLEANLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-6808
Mailing Address - Country:US
Mailing Address - Phone:410-663-8393
Mailing Address - Fax:410-663-8394
Practice Address - Street 1:2429 CLEANLEIGH DR
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-6808
Practice Address - Country:US
Practice Address - Phone:410-663-8393
Practice Address - Fax:410-663-8394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03181553332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4645840001Medicare NSC
MDX69700Medicare UPIN
MD276MMedicare PIN