| |
5500 Buckeystown Pike, Ste. 876, Frederick, MD 21703-8331 | |
(301) 663-4745 | |
(301) 293-0256 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 5500 Buckeystown Pike, Frederick, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285813717 | NPI | - | NPPES |
0550035-00,03 | Medicaid | MD | |
LM13AL | Other | MD | CAREFIRST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 10010880 (Maryland) | Primary |
Mailing Address | Practice Location Address |
---|---|
5500 Buckeystown Pike, Ste. 876, Frederick, MD 21703-8331 Ph: (301) 663-4745 | 5500 Buckeystown Pike, Ste. 876, Frederick, MD 21703-8331 Ph: (301) 663-4745 |
Cerella F Rainey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5500 Buckeystown Pike Ste 876, Frederick, MD 21703 Phone: 301-663-4745 | |
Dr. Thomas Jacob Vaxmonsky, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5500 Buckeystown Pike Ste 620, Frederick, MD 21703 Phone: 301-663-4745 Fax: 301-293-0256 | |
Dr. Robert Francis Gilligan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1052 W Patrick St, Frederick, MD 21703 Phone: 301-620-7307 Fax: 301-696-1022 | |
Dr. Lisa Godwin Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5227 Buckeystown Pike, Frederick, MD 21704 Phone: 301-846-4055 Fax: 301-846-4158 |