| Dr Michael F Diffendall, OD | |
|
3332 Paper Mill Rd, Phoenix, MD 21131-1419 | |
| (410) 628-1510 | |
| (410) 628-1511 |
| Full Name | Dr Michael F Diffendall |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 31 Years |
| Location | 3332 Paper Mill Rd, Phoenix, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184667057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TA1372 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| M.f. Diffendall, Od, Pa | 9335384643 | 2 |
| Provider Name | M.F. Diffendall, OD, PA |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194074476 PECOS PAC ID: 9335384643 Enrollment ID: O20130314000104 |
| Provider Name | Professional Vision of Ellicott City, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952796187 PECOS PAC ID: 4082925045 Enrollment ID: O20150617000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael F Diffendall, OD 3714 Tudor Arms Ave, Baltimore, MD 21211-2246 Ph: (410) 366-0165 | Dr Michael F Diffendall, OD 3332 Paper Mill Rd, Phoenix, MD 21131-1419 Ph: (410) 628-1510 |
Dr. Barry M Weiner, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3421 Sweet Air Rd, Phoenix, MD 21131 Phone: 410-628-1510 Fax: 410-666-5244 |
Jacksonville Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 3332 Paper Mill Rd, Phoenix, MD 21131 Phone: 410-628-1510 |
Jacksonville Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3332 Paper Mill Rd, Phoenix, MD 21131 Phone: 410-628-1510 |