LIFEBRIDGE INVESTMENTS (NPI# 1174856645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174856645 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE INVESTMENTS |
| Other Organization Name | LIFEBRIDGE COMMUNITY PRACTICES DBA CLINICAL ASSOCIATES SPECIALISTS |
| Practice Address |
750 Main St Suite 301a Reisterstown MD 21136-2515 |
| Mailing Address |
2401 W Belvedere Ave Credentialing Baltimore MD 21215-5216 |
| Practice Telephone | 4105263060 |
| Practice Fax Number | 4105263091 |
| Mailing Telephone | 4106015523 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | SUZANNE BEASLEY THOMAS (DIRECTOR) |
| Authorized Official Telephone | 4104941212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TA1490 | MD | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Lifebridge Community Practices dba Clinical Associates Specialists | Doing Business As Name - Organization |
| Street Address |
750 MAIN ST SUITE 301A |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336696244 | Huyentran Ta | Pharmacist | 750 Main St, Reisterstown, MD 21136-2515 | 2016-09-08 |
| 1356794143 | Chi-cheng Michael Ho | Pharmacist | 750 Main St, Suite 104e, Reisterstown, MD 21136-2515 | 2016-07-18 |
| 1114324027 | Hanna Michelle Lee | Pharmacist | 750 Main St, Suite 104e, Reisterstown, MD 21136-2515 | 2014-11-21 |
| 1730508441 | Lifebridge Community Practice | Audiologist | 750 Main St, Ste. 202, Reisterstown, MD 21136-2515 | 2014-04-09 |
| 1730519091 | Angela Marts | Physician Assistant | 750 Main St, Ste 201, Reisterstown, MD 21136 | 2013-11-22 |
| 1134493612 | Maria J Khanuja | Nurse Practitioner | 750 Main St, Suite 205, Reisterstown, MD 21136-2515 | 2012-03-01 |
| 1114224268 | Lifebridge Sports Medicine & Rehabilitation, LLC | Clinic/Center | 750 Main St, Reisterstown, MD 21136-2515 | 2011-02-24 |
| 1841421880 | Virginia Kranz | Otolaryngology | 750 Main St, Reisterstown, MD 21136-2515 | 2009-08-06 |
| 1568698660 | Hillary Barnes Loper | Internal Medicine | 750 Main St, Ste 310, Reisterstown, MD 21136 | 2009-06-03 |
| 1497956676 | Lindsey Thattassery | Internal Medicine | 750 Main St, Reisterstown, MD 21136-2515 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| 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 |
|---|---|---|---|---|
| 1073937462 | Levin Eye Care Partners, LLC | Optometrist | 106 Chartley Dr, Reisterstown, MD 21136-2321 | 2014-02-06 |
| 1184956492 | David Samuel Gamerman | Optometrist | 2309 Tufton Springs Ln, Reisterstown, MD 21136-5542 | 2010-02-11 |
| 1649472192 | Michele L. Kupfer | Optometrist | 2005 Farm Pond Ct, Reisterstown, MD 21136-5657 | 2007-06-05 |
| 1720292865 | Custom Eyes Optical | Optometrist | 11977 Reisterstown Rd, Reisterstown, MD 21136-3030 | 2007-05-09 |
| 1538231303 | Budget Optical Inc. | Optometrist | 106 Charltey Park Drive, Reisterstown, MD 21136 | 2006-11-15 |
| 1073683371 | Ronald Surdin | Optometrist | 106 Chartley Park Drive, 106, Reisterstown, MD 21136 | 2006-11-08 |
| 1013975796 | Sherry Higginbotham | Optometrist | 750 Main St Ste 301a, Reisterstown, MD 21136-2517 | 2006-05-03 |
| 1275049579 | Katzen Medical Associates, PC | Optometrist | 310 Main St, Reisterstown, MD 21136-1904 | 2017-12-21 |
| 1255783106 | Matt Siu | Optometrist | 106 Chartley Dr, Reisterstown, MD 21136-2321 | 2016-07-04 |
| 1699955260 | James A. Eickhoff and Harold D. Rowe, Partners | Optometrist | 310 Main St, Reisterstown, MD 21136-1904 | 2007-11-12 |
| Find all providers in REISTERSTOWN | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
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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.