MEDICARE: CINDY DEUTSCH KASNER O.D.

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	152W00000X	Optometrist	TA1208	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912942632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY DEUTSCH KASNER O.D.

Provider Business Mailing Address
First Line	:	515 FAIRMOUNT AVE
Second Line	:	CREDENTIALING DEPARTMENT
City	:	TOWSON
State	:	MD
Zip	:	21286-5466
Country	:	US
Telephone Number	:	410-494-1324
Fax Number	:	410-494-1361

Provider Business Practice Location Address
First Line	:	6412 REISTERSTOWN RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-2308
Country	:	US
Telephone Number	:	410-764-9360
Fax Number	:	410-764-3228

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	08/19/2022

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