ELEANOR KIM MIN (NPI# 1033424791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033424791 |
Entity Type | Individual |
Full Name | ELEANOR KIM MIN |
Other Name | ELEANOR K KIM |
Credential | O.D. |
Practice Address |
1209 York Rd Suite 200 Lutherville MD 21093-6220 |
Practice Telephone | 4108219490 |
Practice Fax Number | 4108219495 |
Mailing Telephone | 4108219490 |
Mailing Fax Number | 4108219495 |
Enumeration Date | 2010-08-18 |
Last Update Date | 2014-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
TA2300 | MD | Eye and Vision Services Providers |
Street Address |
1209 YORK RD SUITE 200 |
City | LUTHERVILLE |
State | MD |
Zip Code | 21093-6220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104823459 | Gary Baziz | Optometrist | 1209 York Rd, Suite 200, Lutherville, MD 21093-6207 | 2005-07-01 |
1518372853 | Shruti Aggarwal | Ophthalmology | 1209 York Rd, Lutherville, MD 21093-6220 | 2014-06-25 |
1447678487 | Jonathan Katz | Ophthalmology | 1209 York Rd, Lutherville, MD 21093-6220 | 2014-04-06 |
1255584793 | Karl Peter Malicdem | Optometrist | 1209 York Rd, Suite 200, Lutherville, MD 21093-6207 | 2008-10-28 |
1649440322 | Anjana Prasad Jindal | Ophthalmology | 1209 York Rd, Suite 200, Lutherville, MD 21093-6220 | 2008-03-10 |
1326052614 | Katzen Medical Associates, PC | Optometrist | 1209 York Rd, Suite 200, Lutherville, MD 21093-6207 | 2006-07-29 |
1184670366 | Michael H Grodin | Ophthalmology | 1209 York Rd, Suite 200, Lutherville, MD 21093-6220 | 2006-05-26 |
1861442709 | Joseph Benson Harlan | Ophthalmology | 1209 York Rd, Suite 200, Lutherville, MD 21093-6220 | 2006-05-11 |
1457313660 | Tania S. Marcic | Ophthalmology | 1209 York Rd, Suite 200, Lutherville, MD 21093-6207 | 2006-04-04 |
1972582393 | Lisa S. Abrams | Ophthalmology | 1209 York Rd, Suite 200, Lutherville, MD 21093-6220 | 2006-01-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
Find all providers in zip 21093 |
Taxonomy Code | 152WP0200X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Pediatrics |
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780989335 | Hangxiu Xu | Optometrist | 3129 Normandy Woods Dr Apt D, Ellicott City, MD 21043-4582 | 2011-01-12 |
1417018946 | Irvin R Maduro | Optometrist | 6014 Old Branch Ave, Kaiser Permanente Camp Springs Medical Center, Temple Hills, MD 20748-2518 | 2006-12-12 |
1104885037 | Amanda Rae Zeller Manley | Optometrist | 6900 Wisconsin Ave, Suite 600, Chevy Chase, MD 20815-6114 | 2006-03-20 |
1154300309 | Diane Serex-dougan | Optometrist | 7954 Harford Rd, Baltimore, MD 21234-5838 | 2006-01-14 |
1265997522 | Kelsey Starman | Optometrist | 6509 Democracy Blvd, Bethesda, MD 20817-1639 | 2019-01-31 |
1285126011 | Diane Serex-dougan, O.d. | Optometrist | 7954 Harford Rd, Baltimore, MD 21234-5838 | 2018-06-06 |
1598045957 | Vision and Conceptual Development Center LLC | Optometrist | 6900 Wisconsin Ave, Suite 600, Chevy Chase, MD 20815-6114 | 2011-08-17 |
1477856474 | Vision and Conceptual Development Center LLC | Optometrist | 6900 Wisconsin Ave, Suite 600, Chevy Chase, MD 20815-6114 | 2010-12-13 |
1104013747 | Jill Meredith Vocci | Optometrist | 2 Hamill Rd, Suite 345, Baltimore, MD 21210-1806 | 2007-09-27 |
1750578498 | Sharon Choi Oh | Optometrist | 2 Hamill Rd, Suite 345, Baltimore, MD 21210-1806 | 2007-09-26 |
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City | LUTHERVILLE |
Zip Code | 21093 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.