| Canton Crossing Optometry, Llc | |
|
3715 Boston St, Baltimore, MD 21224-5752 | |
| (443) 839-0335 | |
| (443) 839-0336 |
| Full Name | Canton Crossing Optometry, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3715 Boston 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 |
|---|---|---|---|
| 1326474263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Michael L. Schwartz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912068826 PECOS PAC ID: 5698750701 Enrollment ID: I20040622001638 |
| Provider Name | Joseph L Derose |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679516595 PECOS PAC ID: 5698741940 Enrollment ID: I20040908000541 |
| Provider Name | Steven F Sopher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568514537 PECOS PAC ID: 2264411644 Enrollment ID: I20050307000123 |
| Provider Name | Iva Nosi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275763500 PECOS PAC ID: 5294880449 Enrollment ID: I20090911000328 |
| Provider Name | Shruti Rohit Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396975355 PECOS PAC ID: 9830231786 Enrollment ID: I20100115000280 |
| Provider Name | Daniel Rogers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053470245 PECOS PAC ID: 2163554874 Enrollment ID: I20100715000775 |
| Provider Name | Robert Dobrusin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467411603 PECOS PAC ID: 3476645623 Enrollment ID: I20100728000750 |
| Provider Name | Janice Anita Simmons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033266119 PECOS PAC ID: 1557548112 Enrollment ID: I20110607000738 |
| Provider Name | Susan B Schultz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255429551 PECOS PAC ID: 8628225406 Enrollment ID: I20120830000036 |
| Provider Name | James Francis Smeriglio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003011636 PECOS PAC ID: 2163673096 Enrollment ID: I20121127000120 |
| Provider Name | Stephen Mark Polakoff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265420921 PECOS PAC ID: 8628194230 Enrollment ID: I20130327000295 |
| Provider Name | Cerella Rainey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003083486 PECOS PAC ID: 6608018262 Enrollment ID: I20130809000549 |
| Provider Name | Jasleen K Bedi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194843771 PECOS PAC ID: 4284958760 Enrollment ID: I20150113000468 |
| Provider Name | Nancy Cooper-gregory |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932283579 PECOS PAC ID: 5092964478 Enrollment ID: I20150401000227 |
| Provider Name | Syed Hussain |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902031578 PECOS PAC ID: 0345561981 Enrollment ID: I20150608001026 |
| Provider Name | Thomas Rooney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083095020 PECOS PAC ID: 0143533539 Enrollment ID: I20150714001420 |
| Provider Name | Cerina Leigh Buchanan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588031793 PECOS PAC ID: 0648571232 Enrollment ID: I20151228001042 |
| Provider Name | Kevin Mathes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831477488 PECOS PAC ID: 9032381876 Enrollment ID: I20160523001628 |
| Provider Name | Alan Friedman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386660348 PECOS PAC ID: 7517256969 Enrollment ID: I20160525001492 |
| Provider Name | Julia Kozyaykina Shoyked |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437502796 PECOS PAC ID: 8325336191 Enrollment ID: I20161011000986 |
| Provider Name | Dana Nicole Reinhardt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003338260 PECOS PAC ID: 2062786940 Enrollment ID: I20170915000247 |
| Provider Name | Lauren Knott Stephens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265638316 PECOS PAC ID: 9739140435 Enrollment ID: I20180122000219 |
| Provider Name | Marty J Wyman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164522264 PECOS PAC ID: 5395006795 Enrollment ID: I20180227002833 |
| Provider Name | Roderick Lucien Swift |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467947812 PECOS PAC ID: 6305196320 Enrollment ID: I20180912000960 |
| Provider Name | Kelci Walters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518433796 PECOS PAC ID: 9436497005 Enrollment ID: I20190207000186 |
| Provider Name | Hares Banuwal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285293100 PECOS PAC ID: 2668707142 Enrollment ID: I20190708000446 |
| Provider Name | Alexandra Alvarez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235752528 PECOS PAC ID: 1153744842 Enrollment ID: I20200714001926 |
| Provider Name | Yewande Kehinde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356980619 PECOS PAC ID: 5092134627 Enrollment ID: I20201001001540 |
| Provider Name | Adel Ebraheem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851961726 PECOS PAC ID: 6709281983 Enrollment ID: I20210826000968 |
| Provider Name | Howard Budner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730120114 PECOS PAC ID: 6800891136 Enrollment ID: I20220302001600 |
| Provider Name | Crystal Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154408946 PECOS PAC ID: 4688905276 Enrollment ID: I20220511002715 |
| Provider Name | Osasenaga West-erhabor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932817608 PECOS PAC ID: 9638549322 Enrollment ID: I20221221000029 |
| Provider Name | Rossana Luna |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457664302 PECOS PAC ID: 9234324880 Enrollment ID: I20230109000028 |
| Provider Name | David Rosner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912682071 PECOS PAC ID: 0244691525 Enrollment ID: I20230802003966 |
| Provider Name | Tanya Malhotra |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134796345 PECOS PAC ID: 4587047238 Enrollment ID: I20240916003771 |
| Provider Name | Nia Ebrahim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336982750 PECOS PAC ID: 5294268520 Enrollment ID: I20241025000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Crossing Optometry, Llc 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Canton Crossing Optometry, Llc 3715 Boston St, Baltimore, MD 21224-5752 Ph: (443) 839-0335 |
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 |