MS. STEPHANIE BRANCH (NPI# 1265529051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265529051 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE BRANCH |
| Credential | OD |
| Practice Address |
11110 Mall Circle Suite 2001 Waldorf MD 20603 |
| Mailing Address |
11110 Mall Circle, Suite 2001 P.o. Box 6210 Waldorf MD 20603 |
| Practice Telephone | 3017058451 |
| Practice Fax Number | 3017058448 |
| Mailing Telephone | 3017058451 |
| Mailing Fax Number | 3017058448 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TA1005 | MD | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225536980 | Stephanie Branch | Specialist/Technologist | 108 Crescent Bay Dr., League City, TX 77573-7757 | 2018-01-29 |
| 1174984538 | Stephanie Branch | Occupational Therapy Assistant | 17200 Tx Hwy 249, Suite 150, Houston, TX 77064 | 2016-03-14 |
| 1508134396 | Stephanie D Branch | Nurse Practitioner | 1201 Ricker Rd, Salem, IL 62881-4263 | 2011-12-07 |
| Street Address |
11110 MALL CIRCLE SUITE 2001 |
| City | WALDORF |
| State | MD |
| Zip Code | 20603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851473805 | Hour Eyes Inc | Eyewear Supplier (Equipment, not the service) | 11110 Mall Circle, Waldorf, MD 20603 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| 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 |
|---|---|---|---|---|
| 1154982858 | Hadia Riaz Choudhary | Optometrist | 11345 Pembrooke Sq Ste 105, Waldorf, MD 20603-4804 | 2019-06-24 |
| 1730676966 | Lmhoptics,llc | Optometrist | 1272 Smallwood Dr W, Waldorf, MD 20603-4732 | 2018-04-13 |
| 1609204437 | Myeyedr Optometry of Maryland, LLC | Optometrist | 2936 Festival Way, Suite 409a, Waldorf, MD 20601-2957 | 2013-10-14 |
| 1699076067 | Robin Apple, LLC | Optometrist | 11170 Mall Cir, C/o Sears Optical, Waldorf, MD 20603-4866 | 2010-11-16 |
| 1285946210 | Chika Eye Care LLC | Optometrist | 122 Smallwood Village Ctr, Waldorf, MD 20602-1843 | 2010-07-07 |
| 1659561868 | National Vision, Inc. | Optometrist | 3006 Waldorf Market Pl Ste 9, Waldorf, MD 20603-4873 | 2007-07-25 |
| 1225254683 | Ver, Inc. | Optometrist | 1238 Smallwood Drive, West, Waldorf, MD 20603 | 2007-04-17 |
| 1508988528 | William Friedman | Optometrist | 1238 Smallwood Dr W, Waldorf, MD 20603-4732 | 2007-04-03 |
| 1093853343 | Virginia Elizabeth Reed | Optometrist | 1238 Smallwood Drive West, St Charles Town Plaza, Waldorf, MD 20603 | 2007-02-01 |
| 1487713756 | Mohamed Kasmani | Optometrist | 11110 Mall Cir, Waldorf, MD 20603-4803 | 2006-12-06 |
| Find all providers in WALDORF | ||||
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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.