| Professional Vision Of Ellicott City, Inc. | |
|
8450 Baltimore National Pike Ste 155, Ellicott City, MD 21043-3909 | |
| (410) 465-6166 | |
| Not Available |
| Full Name | Professional Vision Of Ellicott City, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 8450 Baltimore National Pike Ste 155, Ellicott City, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952796187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Maryland) | Primary |
| Provider Name | Chryssa M Bender |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356428171 PECOS PAC ID: 6002911229 Enrollment ID: I20070417000609 |
| Provider Name | Ann Gallagher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871607549 PECOS PAC ID: 3476621210 Enrollment ID: I20081007000700 |
| Provider Name | Susan B Schultz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255429551 PECOS PAC ID: 8628225406 Enrollment ID: I20120830000036 |
| Provider Name | Michael Diffendall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184667057 PECOS PAC ID: 3072728914 Enrollment ID: I20130314000118 |
| Provider Name | Yoon H Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659802999 PECOS PAC ID: 8921385352 Enrollment ID: I20170511002095 |
| Provider Name | Matt Hung Siu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255783106 PECOS PAC ID: 5799052494 Enrollment ID: I20170825001053 |
| Provider Name | Erich T Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124675541 PECOS PAC ID: 2769712330 Enrollment ID: I20190924003062 |
| Provider Name | Lariesa Miller-schwab |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790346104 PECOS PAC ID: 5294144259 Enrollment ID: I20210505000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Vision Of Ellicott City, Inc. 8450 Baltimore National Pike Ste 155, Ellicott City, MD 21043-3909 Ph: (410) 465-6166 | Professional Vision Of Ellicott City, Inc. 8450 Baltimore National Pike Ste 155, Ellicott City, MD 21043-3909 Ph: (410) 465-6166 |
Dr. Janice Anita Simmons, OD Optometrist Medicare: Medicare Enrolled Practice Location: 10050 Baltimore National Pike Ste F100, Ellicott City, MD 21042 Phone: 410-461-2020 Fax: 410-394-8054 | |
Dr. Ronald Mark Berger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5012 Dorsey Hall Dr, Suite 105, Ellicott City, MD 21042 Phone: 410-730-8878 Fax: 410-997-8272 | |
Barenburg Optical Service, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9051 Baltimore National Pike, Ellicott City, MD 21042 Phone: 410-465-4020 | |
Dr. Dana Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5012 Dorsey Hall Dr, Suite 105, Ellicott City, MD 21042 Phone: 410-730-8878 Fax: 410-997-8272 | |
Dr. Joshua S Gordon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9051 Baltimore National Pike, Ellicott City, MD 21042 Phone: 410-465-4080 Fax: 410-461-8650 | |
Ellicott City Total Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 5012 Dorsey Hall Dr, Suite 105, Ellicott City, MD 21042 Phone: 410-730-8878 Fax: 410-997-8272 | |
Leslie Toll, OD Optometrist Medicare: Medicare Enrolled Practice Location: 10050 Baltimore National Pike, Suite F100, Ellicott City, MD 21042 Phone: 410-461-2020 Fax: 410-461-2672 |