| Federal Hill Practice Llc | |
|
1029 Light St, Baltimore, MD 21230-4017 | |
| (410) 752-8208 | |
| (410) 752-7144 |
| Full Name | Federal Hill Practice Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1029 Light St, Baltimore, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124520895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TA1176 (Maryland) | Primary |
| Provider Name | Calvert Ross Bregel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528065885 PECOS PAC ID: 2567587736 Enrollment ID: I20100910000687 |
| Provider Name | Scott L Klasman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245255769 PECOS PAC ID: 6507829165 Enrollment ID: I20180110000617 |
| Provider Name | Zack Cosgrove Solomon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629746052 PECOS PAC ID: 2860880069 Enrollment ID: I20211020001858 |
| Mailing Address | Practice Location Address |
|---|---|
| Federal Hill Practice Llc 1029 Light St, Baltimore, MD 21230-4017 Ph: (410) 752-8208 | Federal Hill Practice Llc 1029 Light St, Baltimore, MD 21230-4017 Ph: (410) 752-8208 |
Salma Kiani, O. D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2925 Lord Baltimore Dr, Suite 300, Baltimore, MD 21244 Phone: 410-277-3937 Fax: 410-281-9388 | |
Deanne Leonard, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3506 Ellamont Rd, Baltimore, MD 21215 Phone: 443-802-9920 | |
South Baltimore Eye Associtate Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1029 Light St, Baltimore, MD 21230 Phone: 410-752-8208 Fax: 410-752-7144 | |
Dr. Paul Nenner, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5006 Sinclair Ln, Baltimore, MD 21206 Phone: 410-488-6800 Fax: 410-488-4270 | |
Dr. Colin Kane, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe Street, Wilmer 233, Baltimore, MD 21287 Phone: 410-955-8679 Fax: 410-614-9240 | |
Colette Houssan, MPH, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 N Wolfe St Ste 311, Baltimore, MD 21287 Phone: 410-955-0580 | |
Shoshana Cohen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1838 Greene Tree Rd, Suite 225, Baltimore, MD 21208 Phone: 410-653-0200 Fax: 410-653-3667 |