<unavail> in Frederick, MD

is a Optometrist based in Frederick, Maryland. is licensed to practice in Maryland (license number TA0967) and their current practice location is 166 Baughmans Lane, Frederick, Maryland. It can be reached at their office (for appointments etc.) via phone at (301) 663-1177.

NPI number for is 1003024795 and their current mailing address is 166 Baughmans Lane, Frederick, Maryland. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1003024795.

Contact Information


	166 Baughmans Lane, Frederick, MD 21702-4083
	(301) 663-1177
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Optometrist
Location	166 Baughmans Lane, Frederick, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1003024795
Provider Enumeration Date: 05/18/2007
Last Update Date: 08/22/2020

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003024795	NPI	-	NPPES
KANGCH	Other		CAREFIRST BC BS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TA0967 (Maryland)	Primary
152W00000X	Optometrist	OP593 (District Of Columbia)	Secondary
152W00000X	Optometrist	OEG001617 (Pennsylvania)	Secondary
152W00000X	Optometrist	0618000256 (Virginia)	Secondary
152W00000X	Optometrist	002831 (New York)	Secondary
152W00000X	Optometrist	(New Jersey)	Secondary

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. 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
166 Baughmans Lane, Frederick, MD 21702-4083 Ph: (301) 663-1177	166 Baughmans Lane, Frederick, MD 21702-4083 Ph: (301) 663-1177

Reviews and Comments

Optometrist in Frederick, MD

Cerella F Rainey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5500 Buckeystown Pike Ste 876, Frederick, MD 21703 Phone: 301-663-4745
Optometrist Medicare: Medicare Enrolled Practice Location: 7810 Wormans Mill Rd, Suite C, Frederick, MD 21701 Phone: 301-228-2666 Fax: 301-228-2119
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1311 West Patrick St, Frederick, MD 21702 Phone: 301-695-3206 Fax: 301-695-9872
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

- Optometrist in Frederick, MD