| Revolutioneyes | |
|
5725 Richards Valley Rd Ste A9, Ellicott City, MD 21043-6964 | |
| (443) 420-8113 | |
| (443) 420-8113 |
| Full Name | Revolutioneyes |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 5725 Richards Valley Rd Ste A9, Ellicott City, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306272869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | TA1997 (Maryland) | Primary |
| Provider Name | Thanh Loan N Dorsam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447319629 PECOS PAC ID: 4880613298 Enrollment ID: I20051115000769 |
| Provider Name | Christina E Generie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255432928 PECOS PAC ID: 2961598800 Enrollment ID: I20140725000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Revolutioneyes 5725 Richards Valley Rd Ste A9, Ellicott City, MD 21043-6964 Ph: (443) 420-8113 | Revolutioneyes 5725 Richards Valley Rd Ste A9, Ellicott City, MD 21043-6964 Ph: (443) 420-8113 |
Dr. Janice Anita Simmons, OD Optometrist Medicare: Medicare Enrolled Practice Location: 10050 Baltimore National Pike Ste F100, Ellicott City, MD 21042 Phone: 410-461-2020 Fax: 410-394-8054 | |
Dr. Ronald Mark Berger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5012 Dorsey Hall Dr, Suite 105, Ellicott City, MD 21042 Phone: 410-730-8878 Fax: 410-997-8272 | |
Barenburg Optical Service, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9051 Baltimore National Pike, Ellicott City, MD 21042 Phone: 410-465-4020 | |
Dr. Dana Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5012 Dorsey Hall Dr, Suite 105, Ellicott City, MD 21042 Phone: 410-730-8878 Fax: 410-997-8272 | |
Dr. Christina E. Generie, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5725 Richards Valley Rd Ste A9, A-9, Ellicott City, MD 21043 Phone: 443-420-8113 Fax: 443-420-8113 | |
Dr. Joshua S Gordon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9051 Baltimore National Pike, Ellicott City, MD 21042 Phone: 410-465-4080 Fax: 410-461-8650 |