Provider Demographics
NPI:1396271433
Name:EICHNER, HARRY FLOYD (ABOC)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:FLOYD
Last Name:EICHNER
Suffix:
Gender:M
Credentials:ABOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 N POINT BLVD STE 704
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-3402
Mailing Address - Country:US
Mailing Address - Phone:410-282-6767
Mailing Address - Fax:410-282-3777
Practice Address - Street 1:1005 N POINT BLVD STE 704
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3402
Practice Address - Country:US
Practice Address - Phone:410-282-6767
Practice Address - Fax:410-282-3777
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDABOC 150434156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician