1962537092 NPI number — DAMASCUS OPTICIANS INC

Table of content: DR. FRANCINE D BRECKLER PHARMD (NPI 1023172947)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962537092 NPI number — DAMASCUS OPTICIANS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAMASCUS OPTICIANS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962537092
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26135 RIDGE RD
Provider Second Line Business Mailing Address:
DAMASCUS OPTICIANS
Provider Business Mailing Address City Name:
DAMASCUS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20872
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-253-9828
Provider Business Mailing Address Fax Number:
301-253-1659

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26135 RIDGE RD
Provider Second Line Business Practice Location Address:
DAMASCUS OPTICIANS
Provider Business Practice Location Address City Name:
DAMASCUS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20872
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-253-9828
Provider Business Practice Location Address Fax Number:
301-253-1659
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HARRIS
Authorized Official First Name:
BRUCE
Authorized Official Middle Name:
E
Authorized Official Title or Position:
OPTICIAN
Authorized Official Telephone Number:
301-253-9828

Provider Taxonomy Codes

  • Taxonomy code: 156FX1800X , with the licence number:  15240973 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com