AQUA VISION CARE, LLC (NPI# 1093057226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093057226 |
| Entity Type | Organization |
| Organization Name | AQUA VISION CARE, LLC |
| Practice Address |
1006 Reisterstown Rd Pikesville MD 21208-4206 |
| Practice Telephone | 4106021567 |
| Practice Fax Number | 4106021568 |
| Mailing Telephone | 4106021567 |
| Mailing Fax Number | 4106021568 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | DR. KELECHI MEZU (DIRECTOR) |
| Authorized Official Telephone | 4106021567 |
| Authorized Official Credential | OD, DR.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
TA1714 | MD | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
TA1714 | MD | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
TA1714 | MD | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
TA1714 | MD | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
TA1714 | MD | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
TA1714 | MD | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | TA1714 | MD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | NATIONAL VISION ADMINISTR | 210461 | 01 |
| MD | VSP IDENTIFIER NUMBER | 4106021567 | 01 |
| MD | AETNA | 3303001 | 01 |
| MD | 550003600 | 05 | |
| MD | BLUE CROSS BLUE SHIELD | 61279002 | 01 |
| MD | FEDERAL BLUE CROSS | F534 | 01 |
| MD | BALTIMORE CITY VISION PLA | 2169 | 01 |
| MD | AVEISIS PROVIDER NUMBER | 33606 | 01 |
| MD | EYEMED VISION CARE | MD1714 | 01 |
| MD | BLUE CROSS BLUE CHOICE | F534-001 | 01 |
| Street Address |
1006 REISTERSTOWN RD |
| City | PIKESVILLE |
| State | MD |
| Zip Code | 21208-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194859363 | Kelechi R Mezu | Optometrist | 1006 Reisterstown Rd, Pikesville, MD 21208-4206 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292017 | Citywide Community Resources Corporation | Community/Behavioral Health | 17 Warren Road Suite 20b, Room 7, Pikesville, MD 21208 | 2019-12-13 |
| 1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
| 1295398154 | Building Blocks Healthcare Network LLC | Counselor | 4000 Old Court Rd. Suite # 206, Pikesville, MD 21208 | 2019-04-17 |
| 1851892897 | For Hope's Sake, LLC. | Substance Abuse Rehabilitation Facility | 1326 Greenwood Rd, Baltimore, MD 21208 | 2018-02-26 |
| 1194254482 | One Day At A Time Personal Care LLC. | Home Health | 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 | 2017-06-08 |
| 1871946467 | Lori Pasch | Social Worker | 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 | 2016-07-19 |
| 1669822706 | Holly Hibbard | Physical Therapist | 575 South Charles Street, Suite 201, Baltimore, MD 21208 | 2016-06-20 |
| 1497102867 | Pikesville Health Services LLC | Clinic/Center | 1209 Greenwood Rd, Baltimore, MD 21208 | 2016-05-16 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1225413404 | Daniel Chernoff | Occupational Therapist | 3118 Marnat Rd, Baltimore, MD 21208 | 2015-07-29 |
| Find all providers in zip 21208 | ||||
| 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 |
|---|---|---|---|---|
| 1073911756 | Precision Vision Corporation | Optometrist | 1500 Reisterstown Rd, Suite 208, Pikesville, MD 21208-4339 | 2014-12-12 |
| 1699106740 | Grillo & Company | Optometrist | 215 Luguain Ct, Pikesville, MD 21208-3339 | 2013-11-27 |
| 1396975355 | Shruti Rohit Patel | Optometrist | 1809 Reisterstown Rd, Pikesville, MD 21208-6321 | 2009-07-23 |
| 1194859363 | Kelechi R Mezu | Optometrist | 1006 Reisterstown Rd, Pikesville, MD 21208-4206 | 2007-03-16 |
| 1487759353 | Alan Richard Soll | Optometrist | 1860a Reisterstown Rd, Pikesville, MD 21208-1335 | 2006-09-14 |
| 1033726203 | Dr. Alisa Mandel | Optometrist | 305 Reisterstown Rd, Pikesville, MD 21208-5313 | 2020-09-30 |
| 1871839340 | Pikesville Optometry, LLC | Optometrist | 1809 Reisterstown Rd, Pikesville, MD 21208-6321 | 2013-01-02 |
| 1588784235 | Eye Care Associates of Maryland, L.L.C. | Optometrist | 1838 Greene Tree Rd, Suite 200, Pikesville, MD 21208-6391 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149207 | Diana Chu | Optometrist | 7500 Greenway Center Dr Ste 300, Greenbelt, MD 20770-3551 | 2020-06-24 |
| 1447876040 | Rachel Cho | Optometrist | 8900 Columbia 100 Pkwy Ste L, Columbia, MD 21045-2336 | 2020-06-19 |
| 1407471758 | Amanda Dawn Morris | Optometrist | Perry Point Va Medical Center - Va Maryland Health Care, Perry Point, MD 21902 | 2020-06-12 |
| 1295358141 | National Vision Inc | Optometrist | 11281 New Hampshire Ave, Silver Spring, MD 20904-2631 | 2020-05-27 |
| 1508488123 | Tamara Mendez Od LLC | Optometrist | 8401 Connecticut Ave Ste 102, Chevy Chase, MD 20815-5820 | 2020-05-18 |
| 1912528324 | Sfam 2020, Inc | Optometrist | 2441 Chillum Rd, Hyattsville, MD 20782-3630 | 2020-04-27 |
| 1982232922 | Katzen Medical Associates | Optometrist | 6325 Woodside Ct Ste 125, Columbia, MD 21046-3215 | 2020-03-27 |
| 1124650916 | National Vision Inc | Optometrist | 7256 Guilford Dr, Frederick, MD 21704-5167 | 2020-02-10 |
| 1811537061 | Chesapeake Eye Care & Laser Center LLC | Optometrist | 220 Champion Dr Ste 100, Hagerstown, MD 21740-6665 | 2020-01-15 |
| 1366086084 | Myeyedr Optometry of Maryland, LLC | Optometrist | 7305 Baltimore Ave Ste 202, College Park, MD 20740-3232 | 2019-11-06 |
| Find all providers with the same taxonomy | ||||
| City | PIKESVILLE |
| Zip Code | 21208 |
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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.