Maple Lawn Eye Care Center | |
7625 Maple Lawn Blvd, Suite 125, Fulton, MD 20759-2565 | |
(301) 490-2020 | |
(301) 490-2224 |
Full Name | Maple Lawn Eye Care Center |
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Type | Facility |
Speciality | Optometrist |
Location | 7625 Maple Lawn Blvd, Fulton, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750720991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | TA0775 (Maryland) | Primary |
Provider Name | Jacalyn Ely |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356369011 PECOS PAC ID: 0446363246 Enrollment ID: I20130821000427 |
Provider Name | Fawziya S Mirza |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700811213 PECOS PAC ID: 8921163460 Enrollment ID: I20130919000057 |
Mailing Address | Practice Location Address |
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Maple Lawn Eye Care Center 7625 Maple Lawn Blvd, Suite 125, Fulton, MD 20759-2565 Ph: (301) 490-2020 | Maple Lawn Eye Care Center 7625 Maple Lawn Blvd, Suite 125, Fulton, MD 20759-2565 Ph: (301) 490-2020 |
Dr. Nutaporn Sukontasup, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8115 Maple Lawn Blvd, Suite 135, Fulton, MD 20759 Phone: 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 |