Provider Demographics
NPI:1699955260
Name:JAMES A. EICKHOFF AND HAROLD D. ROWE, PARTNERS
Entity type:Organization
Organization Name:JAMES A. EICKHOFF AND HAROLD D. ROWE, PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:EICKHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:410-833-5515
Mailing Address - Street 1:310 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-1904
Mailing Address - Country:US
Mailing Address - Phone:410-833-5515
Mailing Address - Fax:410-833-7131
Practice Address - Street 1:310 MAIN ST
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-1904
Practice Address - Country:US
Practice Address - Phone:410-833-5515
Practice Address - Fax:410-833-7131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDY483JAOtherCAREFIRST BLUECROSS BLUES
MDC14175OtherRAILROAD MEDICARE
MDC14175OtherRAILROAD MEDICARE
MD140LMedicare PIN