Aqua Vision Care, Llc | |
1006 Reisterstown Rd, Pikesville, MD 21208-4206 | |
(410) 602-1567 | |
(410) 602-1568 |
Full Name | Aqua Vision Care, Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1006 Reisterstown Rd, Pikesville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093057226 | NPI | - | NPPES |
550003600 | Medicaid | MD | |
MD1714 | Other | MD | EYEMED VISION CARE |
33606 | Other | MD | AVEISIS PROVIDER NUMBER |
210461 | Other | MD | NATIONAL VISION ADMINISTR |
3303001 | Other | MD | AETNA |
4106021567 | Other | MD | VSP IDENTIFIER NUMBER |
F534-001 | Other | MD | BLUE CROSS BLUE CHOICE |
2169 | Other | MD | BALTIMORE CITY VISION PLA |
61279002 | Other | MD | BLUE CROSS BLUE SHIELD |
F534 | Other | MD | FEDERAL BLUE CROSS |
Provider Name | Kelechi R Mezu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194859363 PECOS PAC ID: 4385697002 Enrollment ID: I20050224000130 |
Mailing Address | Practice Location Address |
---|---|
Aqua Vision Care, Llc 1006 Reisterstown Rd, Pikesville, MD 21208-4206 Ph: (410) 602-1567 | Aqua Vision Care, Llc 1006 Reisterstown Rd, Pikesville, MD 21208-4206 Ph: (410) 602-1567 |
Dr. Alisa Mandel Optometrist Medicare: Not Enrolled in Medicare Practice Location: 305 Reisterstown Rd, Pikesville, MD 21208 Phone: 410-406-7951 Fax: 443-648-9001 | |
Precision Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1500 Reisterstown Rd, Suite 208, Pikesville, MD 21208 Phone: 410-653-2400 Fax: 410-653-2402 | |
Dr. Kelechi R Mezu, OD. DRPH Optometrist Medicare: Medicare Enrolled Practice Location: 1006 Reisterstown Rd, Pikesville, MD 21208 Phone: 410-602-1567 Fax: 410-602-1568 | |
Precision Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4000 Old Court Rd, Suite 204, Pikesville, MD 21208 Phone: 410-653-2400 Fax: 602-535-3165 | |
International Eye Foundation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4000 Old Court Rd, Suite 204, Pikesville, MD 21208 Phone: 410-653-2400 Fax: 602-535-3165 | |
Precision Vision Optometrist Medicare: Medicare Enrolled Practice Location: 4000 Old Court Rd Ste 204, Pikesville, MD 21208 Phone: 410-653-2400 Fax: 410-653-2402 |