Andrew Jackson Etheridge IV, CCA, CFO, CFM, CPED
Andrew Jackson Etheridge IV, CCA, CFO, CFM, CPED is an Ocularist in Baltimore, Maryland. Works from 2 locations. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 5
Practice location Address checks out
601 N Caroline St Fl 6Baltimore, MD 21287-0006
Phone: (410) 955-8215
Fax: (410) 955-1085
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2613 Carver St, Durham, NC 27705-2720 — (919) 383-1205
Specialties & licences
| Anaplastologist (primary) | Taxonomy 229N00000X |
|---|---|
| Ocularist | Taxonomy 156FX1700X |
| Mastectomy Fitter | Taxonomy 224900000X |
| Pedorthist | Taxonomy 224L00000X |
| Orthotic Fitter | Taxonomy 225000000X |
Record details
| NPI number | 1487246369 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CCA , CFO , CFM , CPED |
| Sole proprietor | No |
| NPI enumerated | February 11, 2021 |
| Last updated in NPPES | August 30, 2022 |
| Certification date | August 30, 2022 |
Other providers in Baltimore
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Johns Hopkins University
601 N Caroline St Rms 6018 & 6130D, Baltimore, MD 21287-0006 · (410) 955-8215