Andrew Jackson Etheridge Iv is a Baltimore, Maryland based male eyecare provider who is specialized as Ocularist Technician. He has professional credentials of CCA, CFO, CFM, CPED. Andrew Jackson Etheridge Iv is carefully trained technician skilled in the arts of fitting, shaping, and painting ocular prostheses (Artificial Eye) for people who have lost an eye or eyes due to trauma or illness. In addition to creating it, the ocularist shows the patient how to handle and care for the prosthesis, and provides long-term care through periodic examinations.
Complete Profile:
Andrew Jackson Etheridge Iv speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ocularist Technician
Credentials:
CCA, CFO, CFM, CPED
Gender:
Male
Practice Address:
601 N Caroline St Fl 6, Baltimore, Maryland, 21287-0006
Phone:
410-955-8215
Fax:
410-955-1085
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1487246369
NPI Enumeration Date:
11 Feb, 2021
NPI Last Update On:
30 Aug, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Andrew Jackson Etheridge Iv are as mentioned below.
License Number
Specialization
State
Status
Primary
Ocularist Technician
Secondary
Mastectomy Fitter
Secondary
Pedorthist
Secondary
Orthotic Fitter
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6201 Greenleigh Ave, Baltimore, Maryland
Zip:
21220-2004
Phone Number:
410-933-6423
Fax Number:
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Patients can reach Andrew Jackson Etheridge Iv at 601 N Caroline St Fl 6, Baltimore, Maryland or can call to book an appointment on 410-955-8215. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.