Lake Arbor Vision Center is a
Optometrist based in Mitchellville, Maryland. Lake Arbor Vision Center is licensed to practice in Maryland (license number TA1277) and their current practice location is
10228 Lake Arbor Way, Mitchellville, Maryland. It can be reached at their office (for appointments etc.) via phone at
(301) 324-9500.
NPI number for Lake Arbor Vision Center is 1487899928 and their current mailing address is 317 Haviland Mill Rd, Brookeville, Maryland. Lake Arbor Vision Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1487899928.
Healthcare Provider's Profile
Full Name | Lake Arbor Vision Center |
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Type | Facility |
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Speciality | Optometrist |
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Location | 10228 Lake Arbor Way, Mitchellville, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487899928
- Provider Enumeration Date: 12/12/2008
- Last Update Date: 12/12/2008
Medical Identifiers
Medical identifiers for Lake Arbor Vision Center such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487899928 | NPI | - | NPPES |
026458100 | Medicaid | DC | |
690741500 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TA1277 (Maryland) | Primary |
152WC0802X | Optometrist - Corneal And Contact Management | TA1277 (Maryland) | Secondary |
152WL0500X | Optometrist - Low Vision Rehabilitation | TA1277 (* (Not Available)) | Secondary |
152WP0200X | Optometrist - Pediatrics | TA1277 (* (Not Available)) | Secondary |
152WS0006X | Optometrist - Sports Vision | TA1277 (Maryland) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lake Arbor Vision Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lake Arbor Vision Center 317 Haviland Mill Rd, Brookeville, MD 20833-2312 Ph: (301) 325-9500 | Lake Arbor Vision Center 10228 Lake Arbor Way, Mitchellville, MD 20721-3113 Ph: (301) 324-9500 |
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