Healthcare Provider Details

I. General information

NPI: 1710925763
Provider Name (Legal Business Name): KAREN S BELING OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 06/25/2008
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

133 VALLEY VIEW AVE
EDGEWATER MD
21037-3818
US

V. Phone/Fax

Practice location:
  • Phone: 410-956-2828
  • Fax: 410-956-2853
Mailing address:
  • Phone: 410-798-0882
  • 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:
Title or Position:
Credential:
Phone: