OrganizationActive
Eagle Eye Care, P.A.
NPI 1467593582 · Eyewear Supplier · Columbia, MD
Provider details
- NPI number
- 1467593582
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Fred Sirotkin, Owner-Optometrist(410) 964-8516
- License
- TA 0870 (MD)
Specialties & taxonomies
Suppliers
Practice location
6350 Stevens Forest Rd
Suite 101
Columbia, MD 21046-3231
Phone: (410) 964-8516
Fax: (410) 740-8626
Approximate (ZIP-level) locationGet directions
Mailing address
6350 Stevens Forest Rd
Columbia, MD 21046-3231
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2010-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.