ALLIED EYECARE, LLC (NPI# 1215102710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215102710 |
| Entity Type | Organization |
| Organization Name | ALLIED EYECARE, LLC |
| Other Organization Name | ADVANTICA EYECARE |
| Practice Address |
3290 Pine Orchard Ln Suite D Ellicott City MD 21042-2374 |
| Mailing Address |
19321 Us Highway 19 N # C Suite 320 Clearwater FL 33764-3169 |
| Practice Telephone | 4104184414 |
| Practice Fax Number | 4435741134 |
| Mailing Telephone | 7275387719 |
| Mailing Fax Number | 7275384255 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | LINDA SUZANNE SAUER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4104184414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Advantica EyeCare | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Allied Eyecare, LLC | 19321-C Us Highway 19 N. Ste. 320, Clearwater, FL 33764 |
| Connecticut Business Registrations | ALLIED EYECARE, LLC | 13575 58th Street North, Suite 144, Clearwater, FL 33760 |
| Indiana Business Entities | ALLIED EYECARE, LLC | 13575 58th Street North, Ste., 2020, Clearwater, FL 33760 |
| Colorado Business Entities | ALLIED EYECARE, LLC | 19321-c Us Highway 19 N, Suite 320, Clearwater, FL 33764 |
| Massachusetts Corporations | ALLIED EYECARE, LLC | 13575 58th Street North, Suite 2020, Clearwater, FL 33760 |
| Street Address |
3290 PINE ORCHARD LN SUITE D |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659410629 | Advantica Virginia, Lcc | PACE Provider Organization | 3290 Pine Orchard Ln, Suite D, Ellicott City, MD 21042-2374 | 2007-02-06 |
| 1538200027 | Advantica Southwest Virginia, LLC | PACE Provider Organization | 3290 Pine Orchard Ln, Suite D, Ellicott City, MD 21042-2374 | 2007-02-09 |
| 1689714875 | Advantica Dc-nova, LLC | PACE Provider Organization | 3290 Pine Orchard Ln, Suite D, Ellicott City, MD 21042-2374 | 2007-02-07 |
| 1417097940 | Advantica Baltimore, Lcc | PACE Provider Organization | 3290 Pine Orchard Ln, Suite D, Ellicott City, MD 21042-2374 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104000181 | Jpdodd Inc. | Point of Service | 2850 N Ridge Rd, Suite 207a, Ellicott City, MD 21043-3464 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434960 | Annette Marie Shelton | Point of Service | 12901 Laurel Bowie Rd Apt 202, Laurel, MD 20708-2203 | 2020-07-08 |
| 1053942359 | Patricia's Place Inc | Point of Service | 1209 Argyle Ave, Baltimore, MD 21217-2928 | 2020-01-27 |
| 1073170213 | Global Family Services, Inc. | Point of Service | 7406 24th Ave, Hyattsville, MD 20783-2614 | 2019-05-23 |
| 1487120333 | Chelsea F Mitchell | Point of Service | 3231 Superior Ln Ste A21, Bowie, MD 20715-1934 | 2018-10-18 |
| 1932692449 | Ambient Bodyworks: Corporate Massage and Mobil Spa | Point of Service | 4718 Eiderdown Ct, Owings Mills, MD 21117-6222 | 2018-06-08 |
| 1699202259 | Jacqueline Iverson | Point of Service | 4400 Stamp Rd Ste 104, Temple Hills, MD 20748-6727 | 2017-05-15 |
| 1770950313 | Hsw Family Services Inc | Point of Service | 6604 Belcrest Rd Apt A, Hyattsville, MD 20782-8328 | 2015-08-31 |
| 1457728487 | Eelon Wellness and Massage | Point of Service | 6414 Bear Ct, #207, Waldorf, MD 20603-4301 | 2015-08-25 |
| 1851783260 | Regional Diagnostic Imaging | Point of Service | 14717 Valiant Ter, Burtonsville, MD 20866-1917 | 2015-02-22 |
| 1144628934 | Zainali Orthodonics | Point of Service | 490 Prospect Blvd, Suite C, Frederick, MD 21701-6430 | 2014-12-11 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
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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.