| Michelle Koo, OD | |
|
45485 Miramar Way, California, MD 20619-3191 | |
| (240) 434-1907 | |
| Not Available |
| Full Name | Michelle Koo |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 45485 Miramar Way, 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 |
|---|---|---|---|
| 1467930479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TA2705 (Maryland) | Primary |
| Provider Name | Dr Anup K Panjwani And Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275827982 PECOS PAC ID: 3375711997 Enrollment ID: O20120626000509 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Koo, OD 45485 Miramar Way, California, MD 20619-3191 Ph: (240) 434-1907 | Michelle Koo, OD 45485 Miramar Way, California, MD 20619-3191 Ph: (240) 434-1907 |
Renerick S Slack, OD Optometrist Medicare: Medicare Enrolled 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 | |
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 |