MEDICARE: TOWSON OPTICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier	03224581	MD

General Provider Information

NPI Number	:	1609059716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWSON OPTICAL LLC

Provider Business Mailing Address
First Line	:	7505 OSLER DR
Second Line	:	SUITE 210
City	:	TOWSON
State	:	MD
Zip	:	21204-7738
Country	:	US
Telephone Number	:	410-296-0624
Fax Number	:	410-337-2570

Provider Business Practice Location Address
First Line	:	7505 OSLER DR
Second Line	:	SUITE 210
City	:	TOWSON
State	:	MD
Zip	:	21204-7738
Country	:	US
Telephone Number	:	410-296-0624
Fax Number	:	410-337-2570

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STANLEY J AMERNICK
Credential	:	M.D.
Telephone Number	:	410-296-0624

Provider Enumeration Date	:	12/12/2007
Last Update Date	:	03/25/2008

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Directions to “TOWSON OPTICAL LLC ” Practice Location

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