Severna Park Eye Care | |
139 Ritchie Hwy Ste B, Severna Park, MD 21146-1152 | |
(410) 544-7417 | |
(410) 544-4408 |
Full Name | Severna Park Eye Care |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 139 Ritchie Hwy Ste B, Severna Park, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528183191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TA0737 (Maryland) | Primary |
Provider Name | Shawn M Mudd |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649363946 PECOS PAC ID: 5698850741 Enrollment ID: I20080313000152 |
Provider Name | Stephanie L Fox |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902866981 PECOS PAC ID: 6800080722 Enrollment ID: I20101104000129 |
Provider Name | Thomas Brown |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912566753 PECOS PAC ID: 7214261866 Enrollment ID: I20190702000458 |
Provider Name | Marta Roman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114579992 PECOS PAC ID: 8729316070 Enrollment ID: I20190823001373 |
Provider Name | Mark A Henriksen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598235749 PECOS PAC ID: 4082943279 Enrollment ID: I20190913000845 |
Provider Name | Jane C Council |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780949693 PECOS PAC ID: 3678707304 Enrollment ID: I20221123000070 |
Provider Name | Christopher H Caldwell |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407160377 PECOS PAC ID: 6901261403 Enrollment ID: I20230507000065 |
Provider Name | Heather C Min |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013693910 PECOS PAC ID: 8921469222 Enrollment ID: I20230803000062 |
Mailing Address | Practice Location Address |
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Severna Park Eye Care 580 Ritchie Hwy, Suite E, Severna Park, MD 21146-3924 Ph: () - | Severna Park Eye Care 139 Ritchie Hwy Ste B, Severna Park, MD 21146-1152 Ph: (410) 544-7417 |
Dr. Heather C Min, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 139 Ritchie Highway Suite B, Severna Park, MD 21146 Phone: 410-544-7417 Fax: 410-544-4408 | |
Dr. Marta Roman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 139 Ritchie Hwy Ste B, Severna Park, MD 21146 Phone: 410-544-7417 | |
Dr. Christopher Hay Caldwell, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 484 Fairoak Dr, Severna Park, MD 21146 Phone: 908-783-0913 | |
Myeyedr Optometry Of Maryland, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 559 Ritchie Hwy, Severna Park, MD 21146 Phone: 410-401-8309 Fax: 410-230-7997 | |
Dr. Barry Frank Tilles, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 580-e Ritchie Hwy, Severna Park, MD 21146 Phone: 410-544-7417 Fax: 410-544-4408 | |
Gina Doan Frankford, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 558 Ritchie Hwy Ste E, Severna Park, MD 21146 Phone: 214-354-3364 |