Healthcare Provider Details

I. General information

NPI: 1073700746
Provider Name (Legal Business Name): KAREN S BELING OPTOMETRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 05/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2979 SOLOMONS ISLAND RD
EDGEWATER MD
21037-1414
US

IV. Provider business mailing address

2979 SOLOMONS ISLAND RD
EDGEWATER MD
21037-1414
US

V. Phone/Fax

Practice location:
  • Phone: 410-956-2828
  • Fax: 410-956-2853
Mailing address:
  • Phone: 410-956-2828
  • Fax: 410-956-2853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTA1536
License Number StateMD

VIII. Authorized Official

Name: MRS. JEANNIE ALLEN
Title or Position: INSURANCE/BILLING
Credential:
Phone: 410-956-2828