| Dr Jena Marie Jung, OD | |
|
45330 Abell House Ln, California, MD 20619-3203 | |
| (301) 863-6080 | |
| Not Available |
| Full Name | Dr Jena Marie Jung |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 45330 Abell House Ln, California, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871636472 | NPI | - | NPPES |
| TA2155 | Other | MD | MARYLAND OPTOMETRY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TA2155 (Maryland) | Primary |
| 152W00000X | Optometrist | 0618001492 (Virginia) | Secondary |
| Provider Name | Dr. Kasmani & Associates, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457713349 PECOS PAC ID: 0648688721 Enrollment ID: O20210412000453 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jena Marie Jung, OD 45330 Abell House Ln, California, MD 20619-3203 Ph: (301) 863-6080 | Dr Jena Marie Jung, OD 45330 Abell House Ln, California, MD 20619-3203 Ph: (301) 863-6080 |
Renerick S Slack, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23105 Three Notch Rd Ste A, California, MD 20619 Phone: 301-863-2020 Fax: 301-863-2020 | |
Dr. Laice Lanette Jeffries, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 23105 Three Notch Rd Ste A, California, MD 20619 Phone: 301-863-2020 Fax: 301-863-2417 | |
Dr.david Heavner & Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 45155 First Colony Way, California, MD 20619 Phone: 301-862-4718 Fax: 301-862-3420 | |
Grasee, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 23191 Three Notch Rd, California, MD 20619 Phone: 301-863-6080 | |
Dr. Kasmani & Associates, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 45155 First Colony Way, California, MD 20619 Phone: 801-862-4718 | |
Michelle Koo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 45485 Miramar Way, California, MD 20619 Phone: 240-434-1907 | |
Dr. Mark Lebar, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 23105 Three Notch Rd Ste A, California, MD 20619 Phone: 301-863-2020 Fax: 301-863-7885 |