Dr Nicole Renee Moffett, OD | |
2365 Crain Hwy, Waldorf, MD 20601-3167 | |
(301) 932-9408 | |
Not Available |
Full Name | Dr Nicole Renee Moffett |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 2365 Crain Hwy, Waldorf, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366574808 | NPI | - | NPPES |
4463081 00 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TA1223 (Maryland) | Primary |
Provider Name | Nicole R Moffett Od Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881064319 PECOS PAC ID: 0244540631 Enrollment ID: O20161021000170 |
Mailing Address | Practice Location Address |
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Dr Nicole Renee Moffett, OD Po Box 451, Cheltenham, MD 20623-0451 Ph: () - | Dr Nicole Renee Moffett, OD 2365 Crain Hwy, Waldorf, MD 20601-3167 Ph: (301) 932-9408 |
Eye Deal Vision Center, Llc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3005 Leonardtown Rd, Waldorf, MD 20601 Phone: 301-645-6550 | |
Ms. Heather Anne Hanlon, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 11110 Mall Cir, Box 6140, Waldorf, MD 20603 Phone: 301-705-8450 Fax: 301-705-8448 | |
Dr. Shahab Motamedi, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3134 Crain Hwy, Waldorf, MD 20603 Phone: 610-349-6810 | |
Dmv Vision Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3134 Crain Hwy, Waldorf, MD 20603 Phone: 301-374-9615 | |
Dr. Virginia Elizabeth Reed, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1238 Smallwood Drive West, St Charles Town Plaza, Waldorf, MD 20603 Phone: 301-932-4390 Fax: 301-932-8660 | |
Herbert Michael Archey, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3134 Crain Hwy, Waldorf, MD 20603 Phone: 301-374-9615 Fax: 301-374-9616 | |
Dr. Brian Taylor, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 Mall Circle, Waldorf, MD 20603 Phone: 301-705-8444 |