| Miller Eyecare Olney Llc | |
|
18111 Town Center Dr, Olney, MD 20832-1479 | |
| (301) 570-1600 | |
| (301) 570-1602 |
| Full Name | Miller Eyecare Olney Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 18111 Town Center Dr, Olney, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366507303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kimoanh Thai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992776926 PECOS PAC ID: 4082672936 Enrollment ID: I20041227000175 |
| Provider Name | Philip Berry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548361124 PECOS PAC ID: 0446200315 Enrollment ID: I20050127001030 |
| Provider Name | Quocanh Vu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043288145 PECOS PAC ID: 3971554379 Enrollment ID: I20050202000983 |
| Provider Name | Ross Jay Shoter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528001278 PECOS PAC ID: 7214039940 Enrollment ID: I20070226000733 |
| Provider Name | Hannah Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891987723 PECOS PAC ID: 6608959515 Enrollment ID: I20080215000436 |
| 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 | Julian M Levy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578647715 PECOS PAC ID: 4688706104 Enrollment ID: I20110323000758 |
| Provider Name | Lila A Goodwin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669483301 PECOS PAC ID: 6204010655 Enrollment ID: I20110408000105 |
| Provider Name | Carmoly T Sanders |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164524716 PECOS PAC ID: 2567635097 Enrollment ID: I20111028000521 |
| Provider Name | Renu Mathew |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831112911 PECOS PAC ID: 3375626369 Enrollment ID: I20120504000023 |
| Provider Name | Calvin Osterman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558339739 PECOS PAC ID: 5395890057 Enrollment ID: I20120914000672 |
| Provider Name | Nancy Cooper-gregory |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932283579 PECOS PAC ID: 5092964478 Enrollment ID: I20120928000011 |
| Provider Name | Adel Ibrahim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023100104 PECOS PAC ID: 1254580632 Enrollment ID: I20120928000032 |
| Provider Name | Chun H Auyeung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073878476 PECOS PAC ID: 8325293947 Enrollment ID: I20130306000148 |
| Provider Name | Jp Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184814428 PECOS PAC ID: 7214175223 Enrollment ID: I20130604000184 |
| Provider Name | Kevin Mathes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831477488 PECOS PAC ID: 9032381876 Enrollment ID: I20130917000043 |
| Provider Name | Michael Chait |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184665341 PECOS PAC ID: 0749241099 Enrollment ID: I20140723001741 |
| Provider Name | Daniel L Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962816421 PECOS PAC ID: 8325269608 Enrollment ID: I20141030001067 |
| Provider Name | Chisom Umogbai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881002376 PECOS PAC ID: 9537380753 Enrollment ID: I20141031000302 |
| Provider Name | Peter Van Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780093260 PECOS PAC ID: 2062633795 Enrollment ID: I20141205000913 |
| Provider Name | Jasleen K Bedi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194843771 PECOS PAC ID: 4284958760 Enrollment ID: I20150112001707 |
| Provider Name | Rossana Luna |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457664302 PECOS PAC ID: 9234324880 Enrollment ID: I20150217000614 |
| Provider Name | Anum A Ali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356724769 PECOS PAC ID: 4082920186 Enrollment ID: I20150904000091 |
| Provider Name | Judith Spirer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164549515 PECOS PAC ID: 8628384625 Enrollment ID: I20150908001055 |
| Provider Name | Suzanne Carducci |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831563733 PECOS PAC ID: 1153627476 Enrollment ID: I20160314000973 |
| Provider Name | Richard Li |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447277926 PECOS PAC ID: 1052623683 Enrollment ID: I20160613002067 |
| Provider Name | Amy Qing Hu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467711242 PECOS PAC ID: 9133356256 Enrollment ID: I20170307000597 |
| Provider Name | Terry B Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265961627 PECOS PAC ID: 0840563367 Enrollment ID: I20170906000161 |
| Provider Name | Queena Singh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710345368 PECOS PAC ID: 6507165990 Enrollment ID: I20171213000442 |
| Provider Name | Cheryl Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912429622 PECOS PAC ID: 1254699168 Enrollment ID: I20171226001934 |
| Provider Name | Dhara Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972056703 PECOS PAC ID: 0941568521 Enrollment ID: I20180103002986 |
| Provider Name | Kristo Bolano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891280020 PECOS PAC ID: 2860741378 Enrollment ID: I20180816001781 |
| Provider Name | Dreka Denise Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639691926 PECOS PAC ID: 2769717636 Enrollment ID: I20190715002277 |
| Provider Name | Crystal Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154408946 PECOS PAC ID: 4688905276 Enrollment ID: I20191014000204 |
| Provider Name | Mandana Nasiri Manesh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861050650 PECOS PAC ID: 4587996012 Enrollment ID: I20191101000574 |
| Provider Name | Cerella Rainey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003083486 PECOS PAC ID: 6608018262 Enrollment ID: I20200604001023 |
| Provider Name | Azim Raja |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124654710 PECOS PAC ID: 3577985431 Enrollment ID: I20200623000254 |
| Provider Name | Zarsh Bhatti |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528636735 PECOS PAC ID: 4183025893 Enrollment ID: I20210701000346 |
| Provider Name | Krystle Ann Villamayor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043937402 PECOS PAC ID: 9133597131 Enrollment ID: I20221123000400 |
| Provider Name | David Duffy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295778124 PECOS PAC ID: 0143128769 Enrollment ID: I20230106000434 |
| Provider Name | Adel Ebraheem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851961726 PECOS PAC ID: 6709281983 Enrollment ID: I20230211000321 |
| Provider Name | Misbah Shafiq |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821670183 PECOS PAC ID: 9931506581 Enrollment ID: I20230417001247 |
| Provider Name | Obinna Odozor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518647049 PECOS PAC ID: 3072968270 Enrollment ID: I20231009000181 |
| Provider Name | Jenny Chen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245010727 PECOS PAC ID: 9032567656 Enrollment ID: I20231121000514 |
| Provider Name | Krupa Baxi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174302319 PECOS PAC ID: 4981135266 Enrollment ID: I20240927002182 |
| Provider Name | Ramtin Nassehi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134965205 PECOS PAC ID: 6406389063 Enrollment ID: I20241104003366 |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Eyecare Olney Llc 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Miller Eyecare Olney Llc 18111 Town Center Dr, Olney, MD 20832-1479 Ph: (301) 570-1600 |
Krystle Ann Bibat Villamayor, Optometrist Medicare: Medicare Enrolled Practice Location: 18111 Town Center Dr, Olney, MD 20832 Phone: 301-570-1600 | |
Dr. Jp Kim, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 18111 Town Center Dr, Olney, MD 20832 Phone: 301-570-1600 Fax: 301-839-1867 | |
Ms. Jasleen K Bedi, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 18111 Town Center Dr, Olney, MD 20832 Phone: 301-570-1600 Fax: 301-839-1867 | |
Dr. Susan Chiu Brule, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3423 Olney Laytonsville Rd Ste 2, Olney, MD 20832 Phone: 301-774-2434 Fax: 301-774-0312 | |
Kimberly S Kepner, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3423 Olney Laytonsville Rd, Suite 2, Olney, MD 20832 Phone: 301-774-2434 Fax: 301-774-0312 | |
Ms. Renu Elsa Mathew, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 18111 Town Center Dr, Olney, MD 20832 Phone: 301-570-1600 Fax: 301-839-1867 |