An Optical Galleria, Llc is a
Optometrist based in Centreville, Maryland. An Optical Galleria, Llc is licensed to practice in Maryland (license number 17231525) and their current practice location is
111 W Water St, Centreville, Maryland. It can be reached at their office (for appointments etc.) via phone at
(443) 262-9415.
NPI number for An Optical Galleria, Llc is 1396766390 and their current mailing address is 111 W Water St, Centreville, Maryland. An Optical Galleria, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1396766390.
Healthcare Provider's Profile
Full Name | An Optical Galleria, Llc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 111 W Water St, Centreville, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396766390
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for An Optical Galleria, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396766390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 17231525 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. An Optical Galleria, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
An Optical Galleria, Llc 111 W Water St, Centreville, MD 21617-1030 Ph: (443) 262-9415 | An Optical Galleria, Llc 111 W Water St, Centreville, MD 21617-1030 Ph: (443) 262-9415 |
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