National Retina Institute | |
1209 York Rd, Suite 200, Lutherville, MD 21093-6207 | |
(410) 821-9490 | |
(410) 821-9495 |
Full Name | National Retina Institute |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1209 York Rd, Lutherville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326052614 | NPI | - | NPPES |
006000300 | Medicaid | MD | |
949000100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Michael H Grodin |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1184670366 PECOS PAC ID: 1355334780 Enrollment ID: I20040820000476 |
Provider Name | Greg A Butterworth |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336116979 PECOS PAC ID: 5597760967 Enrollment ID: I20060919000387 |
Provider Name | Elena V Virts |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1588673594 PECOS PAC ID: 0446252720 Enrollment ID: I20070215000698 |
Provider Name | Erica E Bernfeld |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1386816601 PECOS PAC ID: 1759449655 Enrollment ID: I20081022000013 |
Provider Name | Joseph B Harlan |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1861442709 PECOS PAC ID: 8325100761 Enrollment ID: I20081219000090 |
Provider Name | Robert G Leikin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316051808 PECOS PAC ID: 1557391836 Enrollment ID: I20090416000360 |
Provider Name | Francisco Burgos |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114924495 PECOS PAC ID: 4789735606 Enrollment ID: I20090706000196 |
Provider Name | Eric Q Williams |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689671463 PECOS PAC ID: 8921154956 Enrollment ID: I20090916000638 |
Provider Name | James E Loskot |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619074754 PECOS PAC ID: 2961501226 Enrollment ID: I20091029000259 |
Provider Name | Brett W Katzen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1740288109 PECOS PAC ID: 9739217365 Enrollment ID: I20100503000197 |
Provider Name | Diane M Golub |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841297116 PECOS PAC ID: 3476687609 Enrollment ID: I20100810000622 |
Provider Name | Donna G Booth |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255339891 PECOS PAC ID: 0042344277 Enrollment ID: I20100810000685 |
Provider Name | Gary Baziz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104823459 PECOS PAC ID: 8820112873 Enrollment ID: I20100828000033 |
Provider Name | Apostolos John Giannas |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790906378 PECOS PAC ID: 3678767191 Enrollment ID: I20101028001153 |
Provider Name | Amy A Zimmerman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1114958071 PECOS PAC ID: 0749477008 Enrollment ID: I20101213000416 |
Provider Name | Eva Mcdonald |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1437450855 PECOS PAC ID: 3678755584 Enrollment ID: I20110315000188 |
Provider Name | Jack Sadovnik |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619097698 PECOS PAC ID: 3779765482 Enrollment ID: I20110316000481 |
Provider Name | Tracy O Cress |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1457655862 PECOS PAC ID: 0446436307 Enrollment ID: I20110511000309 |
Provider Name | Kelly A Trancucci |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1649574179 PECOS PAC ID: 1153507371 Enrollment ID: I20110523000668 |
Provider Name | Renee M Svehla Knutson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1770836355 PECOS PAC ID: 6406091016 Enrollment ID: I20130403000171 |
Provider Name | Claudia L Blemard |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992807374 PECOS PAC ID: 1052540820 Enrollment ID: I20140128000866 |
Provider Name | Kimberly A Neutze-heaney |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1194994053 PECOS PAC ID: 2264662931 Enrollment ID: I20140224001954 |
Provider Name | Olga Shif |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1093009839 PECOS PAC ID: 6103138870 Enrollment ID: I20150709000341 |
Provider Name | Katie J Swope |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1861671729 PECOS PAC ID: 7214010867 Enrollment ID: I20150824002399 |
Provider Name | Susan Njenga |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1356734560 PECOS PAC ID: 1557681731 Enrollment ID: I20150924002131 |
Provider Name | Andrea Greene Ray |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1417223884 PECOS PAC ID: 3577711902 Enrollment ID: I20160105002247 |
Provider Name | Nancy Walsh |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1023328598 PECOS PAC ID: 7517220841 Enrollment ID: I20180418002170 |
Provider Name | Jonathan Katz |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1447678487 PECOS PAC ID: 4587915731 Enrollment ID: I20190326002953 |
Provider Name | Ann R Madden |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1699327304 PECOS PAC ID: 7416284336 Enrollment ID: I20200818000706 |
Provider Name | Yewande Kehinde |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356980619 PECOS PAC ID: 5092134627 Enrollment ID: I20201001001540 |
Provider Name | Lindsay Agro |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487110656 PECOS PAC ID: 6204240823 Enrollment ID: I20210122000070 |
Provider Name | Tasneem Maner |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871181396 PECOS PAC ID: 4688082118 Enrollment ID: I20210421001126 |
Provider Name | Clarke S Nelson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1558894923 PECOS PAC ID: 8022419225 Enrollment ID: I20210625000237 |
Provider Name | Prina Patel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205568797 PECOS PAC ID: 9335520543 Enrollment ID: I20220720000191 |
Provider Name | Krystle Ann Villamayor |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043937402 PECOS PAC ID: 9133597131 Enrollment ID: I20221230000633 |
Provider Name | Christian Lopez |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1336625870 PECOS PAC ID: 4789935099 Enrollment ID: I20240102002832 |
Provider Name | Usiwoma Esenighe Ene Abugo |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1447510953 PECOS PAC ID: 3476843327 Enrollment ID: I20240130001545 |
Mailing Address | Practice Location Address |
---|---|
National Retina Institute 1209 York Rd, Lutherville, MD 21093-6220 Ph: (410) 821-9490 | National Retina Institute 1209 York Rd, Suite 200, Lutherville, MD 21093-6207 Ph: (410) 821-9490 |