Visionmd, Llc | |
12150 Annapolis Rd Ste 111, Glenn Dale, MD 20769-9183 | |
(301) 779-0844 | |
(301) 779-0744 |
Full Name | Visionmd, Llc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 12150 Annapolis Rd Ste 111, Glenn Dale, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801381884 | NPI | - | NPPES |
357327300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Katrina C Chin Loy |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1871851188 PECOS PAC ID: 1557653995 Enrollment ID: I20160919001437 |
Provider Name | Saya V Nagori |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1700182151 PECOS PAC ID: 6608023213 Enrollment ID: I20190314000971 |
Provider Name | David Michael Creech |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1659607406 PECOS PAC ID: 3678741493 Enrollment ID: I20200323001392 |
Provider Name | Alisa Thavikulwat |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1265827745 PECOS PAC ID: 6002102175 Enrollment ID: I20200901001539 |
Provider Name | Joseph Rispoli |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043725476 PECOS PAC ID: 5294094710 Enrollment ID: I20200928000264 |
Provider Name | Jessica Yang |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134117633 PECOS PAC ID: 3779530183 Enrollment ID: I20211011000417 |
Provider Name | Parag Gandhi |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1689611691 PECOS PAC ID: 1052396587 Enrollment ID: I20240320000028 |
Mailing Address | Practice Location Address |
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Visionmd, Llc 12150 Annapolis Rd Ste 111, Glenn Dale, MD 20769-9183 Ph: (301) 779-0844 | Visionmd, Llc 12150 Annapolis Rd Ste 111, Glenn Dale, MD 20769-9183 Ph: (301) 779-0844 |