TLC WHITTEN LASER EYE ASSOCIATES, LLC (NPI# 1104030444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104030444 |
| Entity Type | Organization |
| Organization Name | TLC WHITTEN LASER EYE ASSOCIATES, LLC |
| Other Organization Name | TLC LASER EYE CENTERS FREDERICK |
| Practice Address |
70 Thomas Johnson Dr Suite 120 Frederick MD 21702-4361 |
| Mailing Address |
16305 Swingley Ridge Rd Ste. 300 Chesterfield MO 63017-1777 |
| Practice Telephone | 3016625190 |
| Mailing Telephone | 6365342360 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIAN L ANDREW (SECRETARY) |
| Authorized Official Telephone | 6365342360 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TLC Laser Eye Centers Frederick | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295940476 | Tlc Whitten Laser Eye Associates, LLC | Clinic/Center | 1801 K St Nw, Ste. 110, Washington, DC 20006-1301 | 2007-05-11 |
| 1992919757 | Tlc Whitten Laser Eye Associates, LLC | Clinic/Center | 2301 N Parham Rd, Ste. 3, Richmond, VA 23229-3171 | 2007-05-10 |
| 1629282983 | Tlc Whitten Laser Eye Associates, LLC | Clinic/Center | 702 Russell Ave, Suite 105, Gaithersburg, MD 20877-2606 | 2007-05-09 |
| 1356554034 | Tlc Whitten Laser Eye Associates, LLC | Clinic/Center | 630 Peter Jefferson Pkwy, Ste. 180, Charlottesville, VA 22911-8605 | 2007-05-08 |
| 1255544847 | Tlc Whitten Laser Eye Associates, LLC | Clinic/Center | 5999 Harpers Farm Rd, Suite W230, Columbia, MD 21044-3013 | 2007-05-08 |
| Street Address |
70 THOMAS JOHNSON DR SUITE 120 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497735377 | Tony Kyungsik Yoon | Dentist | 70 Thomas Johnson Dr, Suite 123, Frederick, MD 21702-4361 | 2006-01-18 |
| 1043408115 | Beth Renee Smolko | Physician Assistant | 70 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4361 | 2007-10-13 |
| 1376744417 | Ronald A Schwartz | Optometrist | 70 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4361 | 2007-05-29 |
| 1437206984 | David W. Kossoff, M.d., Pa | Specialist | 70 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4361 | 2007-01-05 |
| 1255410064 | Sunia Abdula-lessing | Dentist | 70 Thomas Johnson Dr, Suite 123, Frederick, MD 21702-4361 | 2006-11-03 |
| 1497832000 | Louis Edward Perraut | Ophthalmology | 70 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4361 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556077 | Maryland Treatment Centers Inc | Clinic/Center | 7281 Marcies Choice Ln Fl 2, Frederick, MD 21704-8329 | 2020-10-23 |
| 1740670413 | Hauser Health | Clinic/Center | 4802 Old National Pike, Frederick, MD 21702-3574 | 2015-02-02 |
| 1548355613 | Philip J Mcgann Md,pa | Clinic/Center | 1003 W 7th St, #400, Frederick, MD 21701-8532 | 2006-10-04 |
| 1538165527 | Frederick Health Hospital Inc | Clinic/Center | 400 W 7th St, Frederick, MD 21701-4506 | 2005-06-23 |
| 1215585252 | Ideal Option, Pllc | Clinic/Center | 201 Thomas Johnson Dr, Frederick, MD 21702-5166 | 2019-09-03 |
| 1568010411 | Ideal Telemedicine Services LLC | Clinic/Center | 201 Thomas Johnson Dr, Frederick, MD 21702-5166 | 2019-09-03 |
| 1609248087 | Tms Neurohealth Centers, Frederick, LLC | Clinic/Center | 1003 W 7th St, Suite 500, Frederick, MD 21701-4106 | 2015-10-26 |
| 1154799559 | Advanced Behavioral Health, Inc. | Clinic/Center | 1003 W 7th St Ste 500, Frederick, MD 21701-8512 | 2015-09-02 |
| 1083846174 | Nils W. Olson, Dds, Pa | Clinic/Center | 150 Baughmans Ln, Frederick, MD 21702-4004 | 2009-08-22 |
| 1013199298 | Lourdes Brigida Hunter | Clinic/Center | 201 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-5166 | 2007-11-29 |
| Find all providers in FREDERICK | ||||
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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.