| Goodman Eyecare Center, Llc | |
|
3309 Forestville Pl, Forestville, MD 20747-4409 | |
| (301) 420-6610 | |
| (301) 735-0294 |
| Full Name | Goodman Eyecare Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3309 Forestville Pl, Forestville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013072263 | NPI | - | NPPES |
| 6071190001 | Other | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Van Anh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922003748 PECOS PAC ID: 0042297715 Enrollment ID: I20040630000918 |
| Provider Name | Vincent A Bertomeu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003074139 PECOS PAC ID: 2961436209 Enrollment ID: I20050926000517 |
| Provider Name | Christopher M Kollias |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598797599 PECOS PAC ID: 0042239352 Enrollment ID: I20051116000374 |
| Provider Name | Ross Jay Shoter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528001278 PECOS PAC ID: 7214039940 Enrollment ID: I20070226000733 |
| Provider Name | Pam Bae-li |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538214838 PECOS PAC ID: 8921173741 Enrollment ID: I20080813000549 |
| Provider Name | Bruce Goodman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730122409 PECOS PAC ID: 7315092160 Enrollment ID: I20090901000199 |
| Provider Name | Mehrdad Keramati |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811968167 PECOS PAC ID: 3173531894 Enrollment ID: I20100511000110 |
| Provider Name | Carmoly T Sanders |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164524716 PECOS PAC ID: 2567635097 Enrollment ID: I20111028000521 |
| Provider Name | Calvin Osterman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558339739 PECOS PAC ID: 5395890057 Enrollment ID: I20120914000672 |
| Provider Name | Adel Ibrahim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023100104 PECOS PAC ID: 1254580632 Enrollment ID: I20120928000032 |
| Provider Name | Hemali B. Jardosh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144537218 PECOS PAC ID: 6709066558 Enrollment ID: I20130206000424 |
| Provider Name | Kevin Mathes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831477488 PECOS PAC ID: 9032381876 Enrollment ID: I20130917000043 |
| Provider Name | Daniel L Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962816421 PECOS PAC ID: 8325269608 Enrollment ID: I20141030001067 |
| Provider Name | Cynthia L Reynolds-temple |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932194891 PECOS PAC ID: 0547167710 Enrollment ID: I20150609000089 |
| Provider Name | Jennifer Candelaria Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255715082 PECOS PAC ID: 0042526055 Enrollment ID: I20150904000604 |
| Provider Name | Eric Goulston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023114279 PECOS PAC ID: 7012171994 Enrollment ID: I20160113000201 |
| Provider Name | Enrique Gonzalez-bernard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871750133 PECOS PAC ID: 1759687825 Enrollment ID: I20160316000362 |
| Provider Name | Syed Hussain |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902031578 PECOS PAC ID: 0345561981 Enrollment ID: I20171103002020 |
| Provider Name | Queena Singh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710345368 PECOS PAC ID: 6507165990 Enrollment ID: I20171213000442 |
| Provider Name | Keith James Versteegden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891170494 PECOS PAC ID: 7012209877 Enrollment ID: I20180205002413 |
| Provider Name | Ansu Mariam Nathan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831504976 PECOS PAC ID: 4284994351 Enrollment ID: I20180309000673 |
| Provider Name | Courtney Goode |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164947248 PECOS PAC ID: 0244588127 Enrollment ID: I20180809000656 |
| Provider Name | Afua Birago Opoku-debrah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609362649 PECOS PAC ID: 3678824331 Enrollment ID: I20181022000847 |
| Provider Name | Helen H Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992157564 PECOS PAC ID: 3274812441 Enrollment ID: I20190405001153 |
| Provider Name | Dreka Denise Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639691926 PECOS PAC ID: 2769717636 Enrollment ID: I20190715002277 |
| Provider Name | Hafeezah Omar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952856700 PECOS PAC ID: 4587090832 Enrollment ID: I20200205000601 |
| Provider Name | Julie Huleis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932735412 PECOS PAC ID: 1254756901 Enrollment ID: I20200729002070 |
| Provider Name | Joy Mariah Hines |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649770835 PECOS PAC ID: 4587078589 Enrollment ID: I20210203002251 |
| Provider Name | Daniel Cason |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467078410 PECOS PAC ID: 5799184370 Enrollment ID: I20220609000198 |
| Provider Name | Arjun Dalsania |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881360196 PECOS PAC ID: 6507262557 Enrollment ID: I20220920000022 |
| Provider Name | Hares Banuwal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285293100 PECOS PAC ID: 2668707142 Enrollment ID: I20221125000003 |
| Provider Name | Adel Ebraheem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851961726 PECOS PAC ID: 6709281983 Enrollment ID: I20230211000321 |
| Provider Name | Ellilta Daniel Mezgebu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548047574 PECOS PAC ID: 9133572779 Enrollment ID: I20240130002914 |
| Provider Name | Namra Tanveer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205601317 PECOS PAC ID: 0749625770 Enrollment ID: I20240229003470 |
| Provider Name | Minh-khanh Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609555879 PECOS PAC ID: 8022470335 Enrollment ID: I20240320001554 |
| Provider Name | Gabrielle Gafford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588396386 PECOS PAC ID: 3779021332 Enrollment ID: I20240814000066 |
| Provider Name | Adam Preston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376872531 PECOS PAC ID: 0244508083 Enrollment ID: I20240823003522 |
| Provider Name | Mahek Firasta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528815164 PECOS PAC ID: 4789123407 Enrollment ID: I20240827000318 |
| Provider Name | Tanya Malhotra |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134796345 PECOS PAC ID: 4587047238 Enrollment ID: I20240916003492 |
| Provider Name | Jinaki Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316051055 PECOS PAC ID: 0840299574 Enrollment ID: I20241130000224 |
| Provider Name | Amaka Okeke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477232205 PECOS PAC ID: 8820446651 Enrollment ID: I20250312002062 |
| Mailing Address | Practice Location Address |
|---|---|
| Goodman Eyecare Center, Llc 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Goodman Eyecare Center, Llc 3309 Forestville Pl, Forestville, MD 20747-4409 Ph: (301) 420-6610 |
National Vision, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3118 Donnell Dr, Forestville, MD 20747 Phone: 301-735-5600 Fax: 301-735-8213 | |
Dr. Courtney Grace Goode, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3309 Forestville Pl, Forestville, MD 20747 Phone: 301-420-6610 Fax: 301-735-0294 | |
Namra Tanveer, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3309 Forestville Pl, Forestville, MD 20747 Phone: 301-420-6610 Fax: 301-735-0294 | |
Dr. Nicole Vo Shastri, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3118 Donnell Dr, Forestville, MD 20747 Phone: 301-735-5600 | |
Myeyedr Optometry Of Maryland, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3309 Forestville Pl, Forestville, MD 20747 Phone: 301-420-6610 Fax: 301-735-0294 | |
Mr. Calvin Osterman, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3309 Forestville Pl, Forestville, MD 20747 Phone: 301-420-6610 Fax: 301-735-0294 |