Dr Jennifer Koh Smith, OD | |
7141 Security Blvd, Baltimore, MD 21244-1811 | |
(443) 663-6340 | |
Not Available |
Full Name | Dr Jennifer Koh Smith |
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Gender | Female |
Speciality | Optometrist |
Location | 7141 Security Blvd, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699055780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 14506 (California) | Secondary |
152W00000X | Optometrist | 3426AT (Oregon) | Secondary |
152W00000X | Optometrist | TA2565 (Maryland) | Primary |
Provider Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
Mailing Address | Practice Location Address |
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Dr Jennifer Koh Smith, OD 8166 Tamar Dr, Columbia, MD 21045-2896 Ph: (443) 676-1071 | Dr Jennifer Koh Smith, OD 7141 Security Blvd, Baltimore, MD 21244-1811 Ph: (443) 663-6340 |
Salma Kiani, O. D. Optometrist Medicare: Medicare Enrolled Practice Location: 2925 Lord Baltimore Dr, Suite 300, Baltimore, MD 21244 Phone: 410-277-3937 Fax: 410-281-9388 | |
Deanne Leonard, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3506 Ellamont Rd, Baltimore, MD 21215 Phone: 443-802-9920 | |
Federal Hill Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1029 Light St, Baltimore, MD 21230 Phone: 410-752-8208 Fax: 410-752-7144 | |
Dr. Paul Nenner, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5006 Sinclair Ln, Baltimore, MD 21206 Phone: 410-488-6800 Fax: 410-488-4270 | |
Dr. Colin Kane, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe Street, Wilmer 233, Baltimore, MD 21287 Phone: 410-955-8679 Fax: 410-614-9240 | |
Shoshana Cohen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1838 Greene Tree Rd, Suite 225, Baltimore, MD 21208 Phone: 410-653-0200 Fax: 410-653-3667 | |
Jeanette Bonsack, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-9441 |