| Eldersburg Optometry, Llc | |
| 
					1311 Londontown Blvd, Suite #100, Eldersburg, MD 21784-6454  | |
| (410) 795-5588 | |
| (410) 795-5648 | 
| Full Name | Eldersburg Optometry, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 1311 Londontown Blvd, Eldersburg, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407906605 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | TA0656 (Maryland) | Primary | 
| Provider Name | Michael L. Schwartz | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1912068826 PECOS PAC ID: 5698750701 Enrollment ID: I20040622001638  | 
| Provider Name | Theresa M Shin | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1053300616 PECOS PAC ID: 7315953098 Enrollment ID: I20060306000099  | 
| 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 | Robert Dobrusin | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1467411603 PECOS PAC ID: 3476645623 Enrollment ID: I20100728000750  | 
| Provider Name | Lila A Goodwin | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1669483301 PECOS PAC ID: 6204010655 Enrollment ID: I20120209000667  | 
| Provider Name | James Francis Smeriglio | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1003011636 PECOS PAC ID: 2163673096 Enrollment ID: I20121127000120  | 
| Provider Name | Cerella Rainey | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1003083486 PECOS PAC ID: 6608018262 Enrollment ID: I20130809000549  | 
| Provider Name | Adel Ibrahim | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1023100104 PECOS PAC ID: 1254580632 Enrollment ID: I20141219001438  | 
| 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 | Kevin Mathes | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1831477488 PECOS PAC ID: 9032381876 Enrollment ID: I20160523001628  | 
| Provider Name | Queena Singh | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1710345368 PECOS PAC ID: 6507165990 Enrollment ID: I20171213000095  | 
| Provider Name | Marty J Wyman | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1164522264 PECOS PAC ID: 5395006795 Enrollment ID: I20180227002833  | 
| Provider Name | Rhonda Martin | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1346638228 PECOS PAC ID: 0547522849 Enrollment ID: I20180327000645  | 
| Provider Name | Hares Banuwal | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1285293100 PECOS PAC ID: 2668707142 Enrollment ID: I20190708000446  | 
| Provider Name | Gerald Neil Frishman | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1699837286 PECOS PAC ID: 7517006224 Enrollment ID: I20190828002656  | 
| Provider Name | Elaine Yulien Hse | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1750431573 PECOS PAC ID: 2062743685 Enrollment ID: I20191014001021  | 
| Provider Name | Kenny Chen | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1861902959 PECOS PAC ID: 7911330436 Enrollment ID: I20191213000576  | 
| Provider Name | Thomas Jacob Vaxmonsky | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1043370828 PECOS PAC ID: 2860674413 Enrollment ID: I20191218000033  | 
| Provider Name | Alexandra Alvarez | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1235752528 PECOS PAC ID: 1153744842 Enrollment ID: I20200714001926  | 
| Provider Name | Jp Kim | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1184814428 PECOS PAC ID: 7214175223 Enrollment ID: I20220629000592  | 
| Provider Name | Osasenaga West-erhabor | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1932817608 PECOS PAC ID: 9638549322 Enrollment ID: I20221221000029  | 
| Provider Name | Suzanne Carducci | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1831563733 PECOS PAC ID: 1153627476 Enrollment ID: I20221230000904  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Eldersburg Optometry, Llc 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899  | Eldersburg Optometry, Llc 1311 Londontown Blvd, Suite #100, Eldersburg, MD 21784-6454 Ph: (410) 795-5588  | 
Dr. Michael I. Davis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6300 Georgetown Blvd, Suite121, Eldersburg, MD 21784 Phone: 410-795-8670 Fax: 410-795-2680  | |
Chesapeake Eye Care & Laser Center Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1380 Progress Way Ste 108, Eldersburg, MD 21784 Phone: 410-795-6300  | |
Dr. Robert Michael Dobrusin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1311 Londontown Blvd, Suite # 100, Eldersburg, MD 21784 Phone: 410-795-5588 Fax: 410-795-5648  | |
Eldersburg Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 5957 Exchange Dr Ste 114, Eldersburg, MD 21784 Phone: 814-322-8776  | |
Myeyedr Optometry Of Maryland, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1311 Londontown Blvd Ste 100, Eldersburg, MD 21784 Phone: 410-795-5588 Fax: 410-795-5648  | |
Omelio Optical Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6220 Georgetown Blvd, Suite C, Eldersburg, MD 21784 Phone: 410-236-5032  |