Shady Grove Eye & Vision Care, Llc - Medicare Optometrist in Rockville, MD

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Shady Grove Eye & Vision Care, Llc is a medicare enrolled "Optometrist" provider in Rockville, Maryland. Their current practice location is 15200 Shady Grove Rd, Suite 100, Rockville, Maryland. You can reach out to their office (for appointments etc.) via phone at (301) 670-1212.

Shady Grove Eye & Vision Care, Llc is licensed to practice in Maryland (license number TA1210) and it also participates in the medicare program. Shady Grove Eye & Vision Care, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1023103801.

Contact Information

Shady Grove Eye & Vision Care, Llc
15200 Shady Grove Rd, Suite 100,
Rockville, MD 20850-3218
(301) 670-1212
(301) 216-9692

Map and Direction




Healthcare Provider's Profile

Full NameShady Grove Eye & Vision Care, Llc
TypeFacility
SpecialityOptometrist
Location15200 Shady Grove Rd, Rockville, Maryland
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023103801
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 07/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042209231
  • Enrollment ID: O20040519000438

Medical Identifiers

Medical identifiers for Shady Grove Eye & Vision Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023103801NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist TA1210 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Shady Grove Eye & Vision Care, Llc acts as a billing entity for following providers:
Provider NameAlan N Glazier
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1093993420
PECOS PAC ID: 8628067808
Enrollment ID: I20040511001774
Provider NameMahtab Vaziri
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1568405215
PECOS PAC ID: 9436252509
Enrollment ID: I20070309000220
Provider NameLauren Rubin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1801097027
PECOS PAC ID: 7416025234
Enrollment ID: I20081007000457
Provider NameThomas Jacob Vaxmonsky
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1043370828
PECOS PAC ID: 2860674413
Enrollment ID: I20110303000440
Provider NameVicky Wong
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1659620516
PECOS PAC ID: 7416188008
Enrollment ID: I20140325000309
Provider NameMichael J. Weitz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275693889
PECOS PAC ID: 9436584885
Enrollment ID: I20200114001022
Provider NameAlexandra Alvarez
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235752528
PECOS PAC ID: 1153744842
Enrollment ID: I20220921000208

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shady Grove Eye & Vision Care, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shady Grove Eye & Vision Care, Llc
15200 Shady Grove Rd, Suite 100,
Rockville, MD 20850-3218

Ph: (301) 670-1212		Shady Grove Eye & Vision Care, Llc
15200 Shady Grove Rd, Suite 100,
Rockville, MD 20850-3218

Ph: (301) 670-1212

Reviews and Comments


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Ms. Rosa Nilo Dastrange, O.D.
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Phone: 240-314-0160    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.