| Myeyedr Optometry Of Maryland, Llc | |
|
2936 Festival Way, Suite 409a, Waldorf, MD 20601-2957 | |
| (301) 710-6919 | |
| (301) 710-6930 |
| Full Name | Myeyedr Optometry Of Maryland, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2936 Festival Way, Waldorf, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609204437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Cory L Seylar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033196472 PECOS PAC ID: 2264345495 Enrollment ID: I20031112000450 |
| Provider Name | Michael L. Schwartz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912068826 PECOS PAC ID: 5698750701 Enrollment ID: I20040622001638 |
| Provider Name | April Wellons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154474336 PECOS PAC ID: 8527045939 Enrollment ID: I20040702000932 |
| Provider Name | Van Anh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922003748 PECOS PAC ID: 0042297715 Enrollment ID: I20040708000280 |
| Provider Name | David Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407931629 PECOS PAC ID: 4082688551 Enrollment ID: I20040820000757 |
| Provider Name | Elizabeth Montemurro |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174590996 PECOS PAC ID: 8224093133 Enrollment ID: I20041119000636 |
| Provider Name | David Duffy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295778124 PECOS PAC ID: 0143128769 Enrollment ID: I20050120000605 |
| Provider Name | Steven F Sopher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568514537 PECOS PAC ID: 2264411644 Enrollment ID: I20050307000123 |
| Provider Name | Carey Willey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366549289 PECOS PAC ID: 8729054127 Enrollment ID: I20051018000795 |
| Provider Name | Christopher M Kollias |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598797599 PECOS PAC ID: 0042239352 Enrollment ID: I20051116000363 |
| Provider Name | Theresa M Shin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053300616 PECOS PAC ID: 7315953098 Enrollment ID: I20060306000099 |
| Provider Name | Mehrdad Keramati |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811968167 PECOS PAC ID: 3173531894 Enrollment ID: I20060322000394 |
| Provider Name | Greg A Butterworth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336116979 PECOS PAC ID: 5597760967 Enrollment ID: I20060919000387 |
| Provider Name | Maria B Nunez Imholtz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760420418 PECOS PAC ID: 4587669429 Enrollment ID: I20060927000179 |
| Provider Name | Tricia M Hanyok |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073705604 PECOS PAC ID: 9032207717 Enrollment ID: I20071113000677 |
| Provider Name | George B Shields |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407952179 PECOS PAC ID: 1153419023 Enrollment ID: I20080123000893 |
| Provider Name | Stanley Clyde Bowser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174691711 PECOS PAC ID: 9436238474 Enrollment ID: I20080502000193 |
| Provider Name | Alizzi J Stanchel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033398029 PECOS PAC ID: 0749354652 Enrollment ID: I20080811000160 |
| Provider Name | Jessica Yang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134117633 PECOS PAC ID: 3779530183 Enrollment ID: I20080811000309 |
| Provider Name | Selvin Gnanakkan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104980846 PECOS PAC ID: 1456317510 Enrollment ID: I20080911000587 |
| Provider Name | Steven M Zeidman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962589291 PECOS PAC ID: 5092613364 Enrollment ID: I20081206000120 |
| Provider Name | Hannah Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891987723 PECOS PAC ID: 6608959515 Enrollment ID: I20090105000347 |
| Provider Name | Lennet Hill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396967675 PECOS PAC ID: 9335203371 Enrollment ID: I20090205000467 |
| Provider Name | Iva Nosi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275763500 PECOS PAC ID: 5294880449 Enrollment ID: I20090911000328 |
| Provider Name | Nagaraju Kemidi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962631838 PECOS PAC ID: 3173679073 Enrollment ID: I20090917000535 |
| Provider Name | Mesheca C Bunyon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417080102 PECOS PAC ID: 0840336954 Enrollment ID: I20091002000497 |
| Provider Name | Vincent A Bertomeu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003074139 PECOS PAC ID: 2961436209 Enrollment ID: I20091006000540 |
| Provider Name | Jinaki Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316051055 PECOS PAC ID: 0840299574 Enrollment ID: I20091105000145 |
| Provider Name | Shruti Rohit Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396975355 PECOS PAC ID: 9830231786 Enrollment ID: I20100115000280 |
| Provider Name | Charles Mcdonald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437236775 PECOS PAC ID: 5698721074 Enrollment ID: I20100326000642 |
| Provider Name | Jack Stern |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548338171 PECOS PAC ID: 6305868258 Enrollment ID: I20100508000084 |
| Provider Name | Laice L Jeffries |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215032461 PECOS PAC ID: 3779613724 Enrollment ID: I20100617000614 |
| Provider Name | Robert L Gertz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023158193 PECOS PAC ID: 5698837649 Enrollment ID: I20100715000569 |
| Provider Name | Daniel Rogers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053470245 PECOS PAC ID: 2163554874 Enrollment ID: I20100715000775 |
| Provider Name | Julian M Levy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578647715 PECOS PAC ID: 4688706104 Enrollment ID: I20100720000275 |
| Provider Name | Dawn M Farr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225196645 PECOS PAC ID: 9032241468 Enrollment ID: I20100720000531 |
| Provider Name | Robert Dobrusin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467411603 PECOS PAC ID: 3476645623 Enrollment ID: I20100728000750 |
| Provider Name | Mark D Lebar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548292337 PECOS PAC ID: 6103010061 Enrollment ID: I20101104000607 |
| Provider Name | Valerie Reed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316914153 PECOS PAC ID: 1355544107 Enrollment ID: I20101110000393 |
| Provider Name | Howard B Cohen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174554562 PECOS PAC ID: 9335263144 Enrollment ID: I20101111000085 |
| Provider Name | Jillian S Chapman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558340836 PECOS PAC ID: 4880880806 Enrollment ID: I20101201001323 |
| Provider Name | Anupreet Chawla |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902110612 PECOS PAC ID: 1557550522 Enrollment ID: I20110106000089 |
| Provider Name | John Joseph Hayes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689641987 PECOS PAC ID: 3779762505 Enrollment ID: I20110127000577 |
| Provider Name | Andrew Ishak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154398972 PECOS PAC ID: 8123119088 Enrollment ID: I20110309000668 |
| Provider Name | Alan Scott Bishop |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437137924 PECOS PAC ID: 8022001320 Enrollment ID: I20110330000324 |
| Provider Name | Stanley Allen Feinblum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205814795 PECOS PAC ID: 7214920511 Enrollment ID: I20110601000819 |
| Provider Name | Janice Anita Simmons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033266119 PECOS PAC ID: 1557548112 Enrollment ID: I20110607000738 |
| Provider Name | Robin L Vance Ishak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952378770 PECOS PAC ID: 2567554512 Enrollment ID: I20110804000269 |
| Provider Name | Sepideh Zarani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235418583 PECOS PAC ID: 6406026400 Enrollment ID: I20110831000037 |
| Provider Name | Robert Gilligan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063588150 PECOS PAC ID: 2668642372 Enrollment ID: I20110906000648 |
| Provider Name | Katelin Zaluski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700174497 PECOS PAC ID: 1254501414 Enrollment ID: I20110923000290 |
| Provider Name | George N Demas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568494441 PECOS PAC ID: 9830369669 Enrollment ID: I20110927000540 |
| Provider Name | Ogechi Ukegbu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750687562 PECOS PAC ID: 4082887674 Enrollment ID: I20111026000574 |
| Provider Name | Carmoly T Sanders |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164524716 PECOS PAC ID: 2567635097 Enrollment ID: I20111028000480 |
| Provider Name | Paul Hsiao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124247101 PECOS PAC ID: 5496922742 Enrollment ID: I20120127000104 |
| Provider Name | Lila A Goodwin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669483301 PECOS PAC ID: 6204010655 Enrollment ID: I20120209000667 |
| Provider Name | Molly Wiles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861485443 PECOS PAC ID: 3678753860 Enrollment ID: I20120510000053 |
| Provider Name | Marcel William Brooks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447356084 PECOS PAC ID: 2163685876 Enrollment ID: I20120516000468 |
| Provider Name | Eric Goulston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023114279 PECOS PAC ID: 7012171994 Enrollment ID: I20120625000656 |
| Provider Name | Robert Mitter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841282910 PECOS PAC ID: 8527162627 Enrollment ID: I20120823000245 |
| Provider Name | Susan B Schultz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255429551 PECOS PAC ID: 8628225406 Enrollment ID: I20120830000036 |
| Provider Name | Victor G Guevara |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629143946 PECOS PAC ID: 1951550516 Enrollment ID: I20120926000166 |
| Provider Name | Phyllis Strickland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609914746 PECOS PAC ID: 1153570072 Enrollment ID: I20121009000145 |
| 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 | Monica Cross Solomon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477613867 PECOS PAC ID: 6709039886 Enrollment ID: I20130520000163 |
| Provider Name | Brian Gonzales |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720150915 PECOS PAC ID: 9931340973 Enrollment ID: I20130802000236 |
| Provider Name | Cerella Rainey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003083486 PECOS PAC ID: 6608018262 Enrollment ID: I20130809000549 |
| Provider Name | Jared M Glacken |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629404777 PECOS PAC ID: 0244466332 Enrollment ID: I20131120000109 |
| Provider Name | Howai Chan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689012577 PECOS PAC ID: 3476780636 Enrollment ID: I20131213000514 |
| Provider Name | Andrew Henry Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932445202 PECOS PAC ID: 7315177813 Enrollment ID: I20140303000207 |
| Provider Name | Darryl A Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750419834 PECOS PAC ID: 5890910459 Enrollment ID: I20140716000003 |
| Provider Name | Adel Ibrahim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023100104 PECOS PAC ID: 1254580632 Enrollment ID: I20141219001438 |
| Provider Name | Michael S Krimigis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104960129 PECOS PAC ID: 2163596495 Enrollment ID: I20150106001643 |
| Provider Name | Jasleen K Bedi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194843771 PECOS PAC ID: 4284958760 Enrollment ID: I20150113000468 |
| Provider Name | Daniel L Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962816421 PECOS PAC ID: 8325269608 Enrollment ID: I20150209000551 |
| Provider Name | Calvin Osterman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558339739 PECOS PAC ID: 5395890057 Enrollment ID: I20150219000208 |
| Provider Name | Nancy Cooper-gregory |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932283579 PECOS PAC ID: 5092964478 Enrollment ID: I20150401000227 |
| Provider Name | Richard Li |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447277926 PECOS PAC ID: 1052623683 Enrollment ID: I20150709002454 |
| Provider Name | Thomas Rooney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083095020 PECOS PAC ID: 0143533539 Enrollment ID: I20150714001420 |
| Provider Name | Carol Schwan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649366113 PECOS PAC ID: 0446143101 Enrollment ID: I20150717000081 |
| Provider Name | Chelsea Dayton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285019109 PECOS PAC ID: 0446564314 Enrollment ID: I20150805008889 |
| Provider Name | Philip Berry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548361124 PECOS PAC ID: 0446200315 Enrollment ID: I20151214002620 |
| 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 | Melissa Dempsey Connolly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578680849 PECOS PAC ID: 1557651825 Enrollment ID: I20160601000086 |
| Provider Name | Mashael Al-namaeh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669781670 PECOS PAC ID: 2860640604 Enrollment ID: I20160701001652 |
| Provider Name | Enrique Gonzalez-bernard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871750133 PECOS PAC ID: 1759687825 Enrollment ID: I20160711000410 |
| Provider Name | Julia Kozyaykina Shoyked |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437502796 PECOS PAC ID: 8325336191 Enrollment ID: I20161011000986 |
| Provider Name | Helen H Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992157564 PECOS PAC ID: 3274812441 Enrollment ID: I20161110000825 |
| Provider Name | Renerick S Slack |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144453812 PECOS PAC ID: 4385804343 Enrollment ID: I20170908001229 |
| Provider Name | Samantha Kravetz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295265734 PECOS PAC ID: 2466725775 Enrollment ID: I20170908001236 |
| Provider Name | Judith Spirer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164549515 PECOS PAC ID: 8628384625 Enrollment ID: I20171211000149 |
| Provider Name | Queena Singh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710345368 PECOS PAC ID: 6507165990 Enrollment ID: I20171213000095 |
| Provider Name | Maheen Hashmi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285151910 PECOS PAC ID: 8325307960 Enrollment ID: I20180105000889 |
| 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 | Edward J Patro |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902917123 PECOS PAC ID: 1951663863 Enrollment ID: I20180312002559 |
| Provider Name | Rhonda Martin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346638228 PECOS PAC ID: 0547522849 Enrollment ID: I20180327000645 |
| Provider Name | Sarah Lindsey Franklin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932693793 PECOS PAC ID: 3274880547 Enrollment ID: I20180717004095 |
| Provider Name | Christopher Allen Wood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699266288 PECOS PAC ID: 6305195074 Enrollment ID: I20180814003380 |
| Provider Name | Roderick Lucien Swift |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467947812 PECOS PAC ID: 6305196320 Enrollment ID: I20180912000960 |
| Provider Name | Afua Birago Opoku-debrah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609362649 PECOS PAC ID: 3678824331 Enrollment ID: I20180920000027 |
| Provider Name | Kelci Walters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518433796 PECOS PAC ID: 9436497005 Enrollment ID: I20190207000186 |
| Provider Name | Alexander Van Dyck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154809507 PECOS PAC ID: 5193063592 Enrollment ID: I20190211000493 |
| Provider Name | Ying Narine |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659865483 PECOS PAC ID: 1951642602 Enrollment ID: I20190408001504 |
| Provider Name | Charene-marie Du Boyce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821512971 PECOS PAC ID: 2860766516 Enrollment ID: I20190515001357 |
| Provider Name | Helene Clayton Jeter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306914726 PECOS PAC ID: 8224361696 Enrollment ID: I20190618001446 |
| Provider Name | Hares Banuwal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285293100 PECOS PAC ID: 2668707142 Enrollment ID: I20190708000446 |
| Provider Name | Dreka Denise Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639691926 PECOS PAC ID: 2769717636 Enrollment ID: I20190715002815 |
| Provider Name | Gerald Neil Frishman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699837286 PECOS PAC ID: 7517006224 Enrollment ID: I20190828002656 |
| Provider Name | Yasmine Fozooni |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558417709 PECOS PAC ID: 1456333004 Enrollment ID: I20190905001330 |
| Provider Name | Wai Yin Teresa Chang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104478445 PECOS PAC ID: 6406187095 Enrollment ID: I20191014000206 |
| 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 | Ahmad Zia Zahir |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912434176 PECOS PAC ID: 1850650375 Enrollment ID: I20191219001921 |
| Provider Name | Hemali B. Jardosh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144537218 PECOS PAC ID: 6709066558 Enrollment ID: I20200108002698 |
| Provider Name | Joon B Hur |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588225833 PECOS PAC ID: 2264867415 Enrollment ID: I20200115002108 |
| Provider Name | Hafeezah Omar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952856700 PECOS PAC ID: 4587090832 Enrollment ID: I20200204001826 |
| Provider Name | Pam Bae-li |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538214838 PECOS PAC ID: 8921173741 Enrollment ID: I20200420003415 |
| Provider Name | Fabrice Dzuguia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285288506 PECOS PAC ID: 5294166559 Enrollment ID: I20200520003678 |
| Provider Name | Courtney Goode |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164947248 PECOS PAC ID: 0244588127 Enrollment ID: I20200615000194 |
| Provider Name | Connor Blake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972142545 PECOS PAC ID: 4486076254 Enrollment ID: I20200624001032 |
| Provider Name | Alexandra Alvarez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235752528 PECOS PAC ID: 1153744842 Enrollment ID: I20200714001926 |
| Provider Name | Julie Huleis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932735412 PECOS PAC ID: 1254756901 Enrollment ID: I20200729001323 |
| Provider Name | Yewande Kehinde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356980619 PECOS PAC ID: 5092134627 Enrollment ID: I20201001001540 |
| Provider Name | Humza Kidwai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265069876 PECOS PAC ID: 3870906761 Enrollment ID: I20210114000898 |
| Provider Name | Joy Mariah Hines |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649770835 PECOS PAC ID: 4587078589 Enrollment ID: I20210203001224 |
| Provider Name | Amit Chohan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962016998 PECOS PAC ID: 2062827447 Enrollment ID: I20210421000345 |
| Provider Name | Lariesa Miller-schwab |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790346104 PECOS PAC ID: 5294144259 Enrollment ID: I20210505000025 |
| Provider Name | Jacqueline Carmen Elizabeth Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053726315 PECOS PAC ID: 4587997473 Enrollment ID: I20210513001079 |
| Provider Name | Stephanie D'orazio-brafman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811372279 PECOS PAC ID: 6406156678 Enrollment ID: I20210517000666 |
| Provider Name | Dominic Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205454055 PECOS PAC ID: 0446675607 Enrollment ID: I20210607002020 |
| Provider Name | John Kardos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811953292 PECOS PAC ID: 6507906872 Enrollment ID: I20210622001028 |
| Provider Name | Caroline Krupa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336717768 PECOS PAC ID: 2668874116 Enrollment ID: I20210707001540 |
| Provider Name | Tiffany Marcoe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083182950 PECOS PAC ID: 8921347303 Enrollment ID: I20210816002168 |
| Provider Name | Tony Phillips |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154939551 PECOS PAC ID: 5799180667 Enrollment ID: I20210817000057 |
| Provider Name | Christine Kantor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235145764 PECOS PAC ID: 6103821921 Enrollment ID: I20210817001204 |
| Provider Name | Deanna Ippolito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225683121 PECOS PAC ID: 8426388257 Enrollment ID: I20210818000015 |
| Provider Name | Leann Goslak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205915451 PECOS PAC ID: 0840473484 Enrollment ID: I20210818000177 |
| Provider Name | Sonia Kidwai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801469523 PECOS PAC ID: 9335544923 Enrollment ID: I20210819002198 |
| Provider Name | Saadi M Darvish |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003822834 PECOS PAC ID: 4688847478 Enrollment ID: I20210823001519 |
| Provider Name | Antonio Campbell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912107905 PECOS PAC ID: 5698926012 Enrollment ID: I20210823002746 |
| Provider Name | Renu Mathew |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831112911 PECOS PAC ID: 3375626369 Enrollment ID: I20210825000595 |
| Provider Name | Adel Ebraheem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851961726 PECOS PAC ID: 6709281983 Enrollment ID: I20210826000968 |
| Provider Name | Sharika Shields |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922129444 PECOS PAC ID: 7315029816 Enrollment ID: I20210913002838 |
| Provider Name | Amanda Valle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770156580 PECOS PAC ID: 1052718236 Enrollment ID: I20210930002762 |
| Provider Name | Krupa Gajera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760897276 PECOS PAC ID: 7719296607 Enrollment ID: I20211117000209 |
| Provider Name | Todd Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831202076 PECOS PAC ID: 5597785790 Enrollment ID: I20211206002133 |
| Provider Name | Ryan Shaun Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013661198 PECOS PAC ID: 2365836194 Enrollment ID: I20220222000189 |
| 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 | Clayton Boyd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720463698 PECOS PAC ID: 9436466901 Enrollment ID: I20220616000338 |
| Provider Name | Lakitta Monchelle Woods Dwelle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174786925 PECOS PAC ID: 9537321161 Enrollment ID: I20220622002786 |
| Provider Name | Jp Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184814428 PECOS PAC ID: 7214175223 Enrollment ID: I20220629000592 |
| Provider Name | Umar Mahmood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114667573 PECOS PAC ID: 6709267107 Enrollment ID: I20220716000545 |
| Provider Name | Amber Aria |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568610087 PECOS PAC ID: 1355409236 Enrollment ID: I20220920003523 |
| Provider Name | Abraham Solomon Zuckerbrod |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205106648 PECOS PAC ID: 8224413596 Enrollment ID: I20220922002111 |
| Provider Name | Candace Christen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811036056 PECOS PAC ID: 6204886427 Enrollment ID: I20220927000182 |
| Provider Name | Elizabeth Sall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306114020 PECOS PAC ID: 6800155110 Enrollment ID: I20221004002823 |
| Provider Name | Cheryl Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912429622 PECOS PAC ID: 1254699168 Enrollment ID: I20221008000011 |
| Provider Name | My Phuong Bui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831544295 PECOS PAC ID: 0840586400 Enrollment ID: I20221010000284 |
| Provider Name | Michael Joyce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386992220 PECOS PAC ID: 5395996995 Enrollment ID: I20221010003312 |
| Provider Name | Ramneet Kaur |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407420136 PECOS PAC ID: 0042602534 Enrollment ID: I20221027000099 |
| Provider Name | Magdalena Fuentes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932617909 PECOS PAC ID: 3173864428 Enrollment ID: I20221104000562 |
| Provider Name | Quocanh Vu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043288145 PECOS PAC ID: 3971554379 Enrollment ID: I20221118002427 |
| Provider Name | Mohammed Eissa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023660701 PECOS PAC ID: 9133553001 Enrollment ID: I20221122001008 |
| Provider Name | Osasenaga West-erhabor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932817608 PECOS PAC ID: 9638549322 Enrollment ID: I20221221000029 |
| Provider Name | Brian Lewy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750379087 PECOS PAC ID: 5597089011 Enrollment ID: I20221221001796 |
| Provider Name | Suzanne Carducci |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831563733 PECOS PAC ID: 1153627476 Enrollment ID: I20221230000904 |
| Provider Name | Rossana Luna |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457664302 PECOS PAC ID: 9234324880 Enrollment ID: I20230109000028 |
| Provider Name | Alison Atchison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285921296 PECOS PAC ID: 6002084233 Enrollment ID: I20230217000064 |
| Provider Name | Tejal Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316191018 PECOS PAC ID: 7012130149 Enrollment ID: I20230224000038 |
| Provider Name | Jennifer Gipp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154520666 PECOS PAC ID: 8729189899 Enrollment ID: I20230306001524 |
| Provider Name | Arjun Dalsania |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881360196 PECOS PAC ID: 6507262557 Enrollment ID: I20230315000054 |
| Provider Name | Osvaldo Negron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770575946 PECOS PAC ID: 0446421903 Enrollment ID: I20230324001068 |
| Provider Name | Dana Hobi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619590403 PECOS PAC ID: 3779966551 Enrollment ID: I20230330002029 |
| Provider Name | Crystal Edison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386953461 PECOS PAC ID: 0143458638 Enrollment ID: I20230530001011 |
| Provider Name | Yaron Maya |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073566253 PECOS PAC ID: 1355247966 Enrollment ID: I20230712000571 |
| Provider Name | Norwood Kelly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396838314 PECOS PAC ID: 2365521614 Enrollment ID: I20230727002268 |
| Provider Name | Tracy Snowden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679699680 PECOS PAC ID: 7719020080 Enrollment ID: I20230731004177 |
| Provider Name | David Rosner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912682071 PECOS PAC ID: 0244691525 Enrollment ID: I20230802003966 |
| Provider Name | Joseph Pruitt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477752913 PECOS PAC ID: 8921187477 Enrollment ID: I20230807002674 |
| Provider Name | Gregory Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821023839 PECOS PAC ID: 5395847578 Enrollment ID: I20230810003498 |
| Provider Name | Dena Shahani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134533953 PECOS PAC ID: 8123404274 Enrollment ID: I20230908001698 |
| Provider Name | Amy Ruzicka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508368556 PECOS PAC ID: 8022372887 Enrollment ID: I20230911003874 |
| Provider Name | Bethel Yoseph |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629740840 PECOS PAC ID: 5991180507 Enrollment ID: I20230926002000 |
| Provider Name | Kelsey Palmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992462725 PECOS PAC ID: 8820484694 Enrollment ID: I20230926003022 |
| Provider Name | Samuel Chado |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285049437 PECOS PAC ID: 5890912372 Enrollment ID: I20231006001611 |
| Provider Name | Dustin Briscoe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407230774 PECOS PAC ID: 8527377720 Enrollment ID: I20231128002716 |
| Provider Name | Nehad Virani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598107716 PECOS PAC ID: 4789819608 Enrollment ID: I20231205000447 |
| Provider Name | Amber Wiggins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104551746 PECOS PAC ID: 6901274463 Enrollment ID: I20240112000041 |
| Provider Name | Darshita Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588952576 PECOS PAC ID: 1951572858 Enrollment ID: I20240125001255 |
| Provider Name | Simran Sethi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912361544 PECOS PAC ID: 4981999224 Enrollment ID: I20240125003300 |
| Provider Name | Ellilta Daniel Mezgebu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548047574 PECOS PAC ID: 9133572779 Enrollment ID: I20240130002582 |
| Provider Name | David Gomez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891446373 PECOS PAC ID: 2163893132 Enrollment ID: I20240212000365 |
| Provider Name | Julianne Grissom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942827043 PECOS PAC ID: 3577965367 Enrollment ID: I20240212001643 |
| Provider Name | Emily Kellar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700667094 PECOS PAC ID: 9436509338 Enrollment ID: I20240212002610 |
| Provider Name | Adam Jeffrey Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760243059 PECOS PAC ID: 0941644827 Enrollment ID: I20240219003472 |
| Provider Name | Justin-veni Echague |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104072941 PECOS PAC ID: 8224215454 Enrollment ID: I20240222001361 |
| Provider Name | Terri-ann Echague |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952557555 PECOS PAC ID: 2567520661 Enrollment ID: I20240222002555 |
| Provider Name | Rickey Harton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609861129 PECOS PAC ID: 6507881117 Enrollment ID: I20240314003959 |
| Provider Name | Adam Glover |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215586706 PECOS PAC ID: 8729426713 Enrollment ID: I20240410001386 |
| Provider Name | Rita Niyigena |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770913915 PECOS PAC ID: 5193958304 Enrollment ID: I20240503000223 |
| Provider Name | Cari Solomon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992711097 PECOS PAC ID: 9931106473 Enrollment ID: I20240530004280 |
| Provider Name | Minh-khanh Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609555879 PECOS PAC ID: 8022470335 Enrollment ID: I20240531003801 |
| Provider Name | Jasmine Hayes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265911663 PECOS PAC ID: 9032460472 Enrollment ID: I20240617003066 |
| Provider Name | Sean Gretz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720565641 PECOS PAC ID: 0143578260 Enrollment ID: I20240723000326 |
| Provider Name | Jessica Saraan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649758640 PECOS PAC ID: 2567711971 Enrollment ID: I20240813000892 |
| Provider Name | Karen Slate |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154552453 PECOS PAC ID: 3072659887 Enrollment ID: I20240816000257 |
| Provider Name | Adam Preston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376872531 PECOS PAC ID: 0244508083 Enrollment ID: I20240823003694 |
| Provider Name | Tanya Malhotra |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134796345 PECOS PAC ID: 4587047238 Enrollment ID: I20240916003771 |
| Provider Name | Krupa Baxi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174302319 PECOS PAC ID: 4981135266 Enrollment ID: I20240927002989 |
| Provider Name | Cubdeerix Robinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275207839 PECOS PAC ID: 3173905262 Enrollment ID: I20241008001989 |
| Provider Name | Jodi Naik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831853563 PECOS PAC ID: 6002200482 Enrollment ID: I20241023003187 |
| Provider Name | Nia Ebrahim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336982750 PECOS PAC ID: 5294268520 Enrollment ID: I20241025000138 |
| Provider Name | Makayla Porter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053988394 PECOS PAC ID: 3577099589 Enrollment ID: I20241214000186 |
| Provider Name | Jodi Bergstrom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568511095 PECOS PAC ID: 3779680483 Enrollment ID: I20241219000735 |
| Provider Name | Argjenta Orana |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033461165 PECOS PAC ID: 3173992237 Enrollment ID: I20250115002700 |
| Provider Name | Michael Spuller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376161703 PECOS PAC ID: 6709276033 Enrollment ID: I20250227001544 |
| Provider Name | Gabrielle Gafford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588396386 PECOS PAC ID: 3779021332 Enrollment ID: I20250310000941 |
| Provider Name | Preyaben Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104206465 PECOS PAC ID: 0244548972 Enrollment ID: I20250411001319 |
| Provider Name | Joseph Wagner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851841027 PECOS PAC ID: 7214279926 Enrollment ID: I20250606000796 |
| Provider Name | Ashley Wagner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417360975 PECOS PAC ID: 7113211764 Enrollment ID: I20250609001408 |
| Mailing Address | Practice Location Address |
|---|---|
| Myeyedr Optometry Of Maryland, Llc 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Myeyedr Optometry Of Maryland, Llc 2936 Festival Way, Suite 409a, Waldorf, MD 20601-2957 Ph: (301) 710-6919 |
Eye Deal Vision Center, Llc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3005 Leonardtown Rd, Waldorf, MD 20601 Phone: 301-645-6550 | |
Ms. Heather Anne Hanlon, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 11110 Mall Cir, Box 6140, Waldorf, MD 20603 Phone: 301-705-8450 Fax: 301-705-8448 | |
Dr. Shahab Motamedi, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3134 Crain Hwy, Waldorf, MD 20603 Phone: 610-349-6810 | |
Dmv Vision Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3134 Crain Hwy, Waldorf, MD 20603 Phone: 301-374-9615 | |
Dr. Virginia Elizabeth Reed, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1238 Smallwood Drive West, St Charles Town Plaza, Waldorf, MD 20603 Phone: 301-932-4390 Fax: 301-932-8660 | |
Herbert Michael Archey, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3134 Crain Hwy, Waldorf, MD 20603 Phone: 301-374-9615 Fax: 301-374-9616 | |
Dr. Brian Taylor, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 Mall Circle, Waldorf, MD 20603 Phone: 301-705-8444 |