Dr Nutaporn Sukontasup, OD | |
8115 Maple Lawn Blvd, Suite 135, Fulton, MD 20759-2681 | |
(443) 804-1173 | |
Not Available |
Full Name | Dr Nutaporn Sukontasup |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 22 Years |
Location | 8115 Maple Lawn Blvd, Fulton, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104930817 | NPI | - | NPPES |
11431664 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TA1848 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
First Sight Vision Care Llc | 3375794787 | 3 |
Provider Name | First Sight Vision Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235489030 PECOS PAC ID: 3375794787 Enrollment ID: O20121113000143 |
Mailing Address | Practice Location Address |
---|---|
Dr Nutaporn Sukontasup, OD 8315 Academy Rd, Ellicott City, MD 21043-6687 Ph: (443) 804-1173 | Dr Nutaporn Sukontasup, OD 8115 Maple Lawn Blvd, Suite 135, Fulton, MD 20759-2681 Ph: (443) 804-1173 |
Dr. Susan Gromacki Lathrop, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8115 Maple Lawn Blvd., Suite 135, Fulton, MD 20759 Phone: 301-490-3036 Fax: 443-288-4694 | |
Millie Chang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8160 Maple Lawn Blvd, Suite 140, Fulton, MD 20759 Phone: 301-490-3036 | |
Maple Lawn Eye Care Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7625 Maple Lawn Blvd Ste 125, Fulton, MD 20759 Phone: 301-490-2020 Fax: 301-490-2224 | |
Maple Lawn Eye Care Center Optometrist Medicare: Medicare Enrolled Practice Location: 7625 Maple Lawn Blvd, Suite 125, Fulton, MD 20759 Phone: 301-490-2020 Fax: 301-490-2224 |