CHASE EYE CARE (NPI# 1033427679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033427679 |
| Entity Type | Organization |
| Organization Name | CHASE EYE CARE |
| Practice Address |
1812 Pulaski Hwy Suite A Edgewood MD 21040-1697 |
| Practice Telephone | 4016761010 |
| Practice Fax Number | 4439227582 |
| Mailing Telephone | 4016761010 |
| Mailing Fax Number | 4439227582 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | DR. SELVIN GNANAKKAN (OPTOMETRIST) |
| Authorized Official Telephone | 4106761010 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1769 | MD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 031837000 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHASE EYE CARE | 4717 W Ardmore Rd, Laveen, AZ 85339-2122 |
| Street Address |
1812 PULASKI HWY SUITE A |
| City | EDGEWOOD |
| State | MD |
| Zip Code | 21040-1697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467649517 | Lauer Vision | Technician/Technologist | 1812 Pulaski Hwy, Suite A, Edgewood, MD 21040-1697 | 2007-10-02 |
| 1740518521 | Lauren E Kim | Physical Therapist | 1812 Pulaski Hwy, Suite B, Edgewood, MD 21040-1697 | 2009-12-07 |
| 1437316742 | Emerging Vision Inc Dba Sterling Optical | Technician/Technologist | 1812 Pulaski Hwy, Edgewood, MD 21040 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275028458 | Alycia Covelly | Counselor | 2415 Willoughby Beach Rd, Edgewood, MD 21040 | 2018-06-29 |
| 1558885491 | Kenneth J Heil Jr. | Physical Therapist | 1401f Pulaski Highway, Edgewood, MD 21040 | 2017-08-02 |
| 1952845810 | Caroline Njane | Registered Nurse | 835 Clover Leaf Ct, Edgewood, MD 21040 | 2016-12-12 |
| 1003368945 | Rts Edgewood | Clinic/Center | 2205 Pulaski Hwy, Edgewood, MD 21040 | 2016-10-26 |
| 1194133033 | Dante Winter | Pharmacist | 1301 Woodbridge Center Way, Edgewood, MD 21040 | 2014-07-23 |
| 1841469723 | Rafiq Patel M D P A | General Practice | 1952 Pulaski Highway, Edgewood, MD 21040 | 2008-02-26 |
| 1871793877 | Nichols Shelter Home for Elderly | Health Maintenance Organization | 1111 Hanson Rd., Edgewood, MD 21040 | 2007-07-19 |
| 1467505362 | William N Bernhard | Preventive Medicine | 2624 Fairview Pt Rd. Bldg E 6814, Aviation Medicine Clinic, Edgewood (apg), MD 21040 | 2007-01-22 |
| 1417006503 | Phoenix Recovery Center Inc | Clinic/Center | 107 Edgewood Rd, Edgewood, MD 21040 | 2007-01-09 |
| 1093886848 | Fernando Jose Narava | Dentist | 9690 Deereco, Suite 120, Timonium, MD 21040 | 2006-11-13 |
| Find all providers in zip 21040 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851959761 | Brooke Nicole Mathie | Optometrist | 580 S Loop Rd Ste 200, Edgewood, KY 41017-3415 | 2019-06-05 |
| 1578678520 | Patria Dulce Walker | Optometrist | 1917 Old Route 66, Edgewood Plaza, Edgewood, NM 87015 | 2006-08-20 |
| 1215927215 | East Mountain Eye Clinic PC | Optometrist | 1917 Old Route 66, Edgewood Plaza, Suite D-1, Edgewood, NM 87015 | 2005-10-21 |
| 1538158860 | Carol Deitz-bertke | Optometrist | 581 Dudley Pike, Edgewood, KY 41017-3296 | 2005-10-19 |
| 1003344375 | Erin Rolfes | Optometrist | 580 S Loop Rd, Edgewood, KY 41017-3415 | 2017-05-31 |
| 1538541784 | Myeyedr Optometry of Maryland, LLC | Optometrist | 1401 Pulaski Hwy, Edgewood, MD 21040-1398 | 2015-06-24 |
| 1083895478 | Halpern Eye Care of Maryland, Inc. | Optometrist | 1401 Pulaski Hwy, Suite W, Edgewood, MD 21040-1398 | 2007-11-14 |
| 1104017847 | Ian M. Carr | Optometrist | 581 Dudley Pike, Edgewood, KY 41017-3296 | 2007-08-07 |
| 1225189806 | Sarah Rachel Travis | Optometrist | 581 Dudley Pike, Edgewood, KY 41017-3296 | 2007-01-12 |
| 1003836412 | Emily R Shull | Optometrist | 580 S Loop Rd, Suite 200, Edgewood, KY 41017-3405 | 2006-07-20 |
| Find all providers in EDGEWOOD | ||||
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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.