Provider Demographics
NPI:1588892525
Name:LEPSKI, RICK (OPTICIAN)
Entity type:Individual
Prefix:
First Name:RICK
Middle Name:
Last Name:LEPSKI
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5832 BLUE SKY
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5972
Mailing Address - Country:US
Mailing Address - Phone:410-499-1530
Mailing Address - Fax:
Practice Address - Street 1:5832 BLUE SKY
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-5972
Practice Address - Country:US
Practice Address - Phone:410-499-1530
Practice Address - Fax:410-796-6170
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-29
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician