Malino Riel Javier Defay, OD | |
6231 N Charles St # 1, Baltimore, MD 21212-1113 | |
(410) 337-2044 | |
Not Available |
Full Name | Malino Riel Javier Defay |
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Gender | Male |
Speciality | Optometrist |
Location | 6231 N Charles St # 1, 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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1316622541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | TA2914 (Maryland) | Primary |
Provider Name | Chesapeake Eye Care & Laser Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548296262 PECOS PAC ID: 2769460971 Enrollment ID: O20040713000454 |
Mailing Address | Practice Location Address |
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Malino Riel Javier Defay, OD 283 Cedar Heights Dr, Duncansville, PA 16635-4627 Ph: (814) 215-0811 | Malino Riel Javier Defay, OD 6231 N Charles St # 1, Baltimore, MD 21212-1113 Ph: (410) 337-2044 |
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 |