An Optical Galleria, Llc is a
Optometrist based in Centreville, Maryland. An Optical Galleria, Llc is licensed to practice in Maryland (license number 17231525) and their current practice location is
111 W Water St, Centreville, Maryland. It can be reached at their office (for appointments etc.) via phone at
(443) 262-9415.
NPI number for An Optical Galleria, Llc is 1396766390 and their current mailing address is 111 W Water St, Centreville, Maryland. An Optical Galleria, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1396766390.
Healthcare Provider's Profile
| Full Name | An Optical Galleria, Llc |
|---|
| Type | Facility |
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| Speciality | Optometrist |
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| Location | 111 W Water St, Centreville, 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: 1396766390
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for An Optical Galleria, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396766390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 17231525 (Maryland) | Primary |
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. An Optical Galleria, Llc 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 |
An Optical Galleria, Llc 111 W Water St, Centreville, MD 21617-1030 Ph: (443) 262-9415 | An Optical Galleria, Llc 111 W Water St, Centreville, MD 21617-1030 Ph: (443) 262-9415 |
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