Provider Demographics
NPI:1679754980
Name:STEPHEN H GETZ. O.D.
Entity type:Organization
Organization Name:STEPHEN H GETZ. O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:GETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-879-7969
Mailing Address - Street 1:1800 HARFORD RD
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-2503
Mailing Address - Country:US
Mailing Address - Phone:410-879-7969
Mailing Address - Fax:
Practice Address - Street 1:1800 HARFORD RD
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2503
Practice Address - Country:US
Practice Address - Phone:410-879-7969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA698152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0339200001Medicare NSC
MDT59941Medicare UPIN