Omni Eye Specialists | |
2925 Lord Baltimore Dr., Suite 300, Baltimore, MD 21244-2566 | |
(410) 277-3937 | |
(410) 281-9388 |
Full Name | Omni Eye Specialists |
---|---|
Type | Facility |
Speciality | Specialist |
Location | 2925 Lord Baltimore Dr., Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417986712 | NPI | - | NPPES |
078561000 | Medicaid | MD | |
4125061000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
174400000X | Specialist | (Maryland) | Primary |
Provider Name | Bruce Jones |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457388837 PECOS PAC ID: 5294623377 Enrollment ID: I20040413001163 |
Provider Name | Emily Alice Frank |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700882800 PECOS PAC ID: 6002881471 Enrollment ID: I20040830000336 |
Provider Name | Ok H Park |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1659306520 PECOS PAC ID: 9335114446 Enrollment ID: I20040902000305 |
Provider Name | Selvin Gnanakkan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104980846 PECOS PAC ID: 1456317510 Enrollment ID: I20080911000587 |
Provider Name | Edward John Wasloski |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952307084 PECOS PAC ID: 4789634643 Enrollment ID: I20080923000413 |
Provider Name | Mary E Sezer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386787299 PECOS PAC ID: 8224194238 Enrollment ID: I20090226000597 |
Provider Name | Nader G Gary |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1528038585 PECOS PAC ID: 2769530815 Enrollment ID: I20090430000094 |
Provider Name | Ivan Horacio Garcia |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1629074745 PECOS PAC ID: 2860442720 Enrollment ID: I20100831000690 |
Provider Name | Brian Jen Lee |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1730376583 PECOS PAC ID: 7214089242 Enrollment ID: I20110708000074 |
Provider Name | Christina Antonopoulos |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1992820641 PECOS PAC ID: 6800910001 Enrollment ID: I20120726000072 |
Provider Name | Noel Rosado Adames |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1922295930 PECOS PAC ID: 5991975104 Enrollment ID: I20131111000275 |
Provider Name | Jazzmon Lee Nguedjo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417306697 PECOS PAC ID: 6305138777 Enrollment ID: I20160705000876 |
Provider Name | Joseph Rispoli |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043725476 PECOS PAC ID: 5294094710 Enrollment ID: I20180109000259 |
Provider Name | Jennifer Wagh |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417443417 PECOS PAC ID: 3476800467 Enrollment ID: I20180723000867 |
Provider Name | Hares Banuwal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285293100 PECOS PAC ID: 2668707142 Enrollment ID: I20190708000446 |
Mailing Address | Practice Location Address |
---|---|
Omni Eye Specialists 2925 Lord Baltimore Dr., Suite 300, Baltimore, MD 21244-2566 Ph: (410) 277-3937 | Omni Eye Specialists 2925 Lord Baltimore Dr., Suite 300, Baltimore, MD 21244-2566 Ph: (410) 277-3937 |