MRS. MARILYN BRENDA FREIDKIN (NPI# 1265619175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265619175 |
Entity Type | Individual |
Full Name | MRS. MARILYN BRENDA FREIDKIN |
Credential | OPTICIAN |
Practice Address |
9812 Falls Rd Potomac MD 20854-3976 |
Mailing Address |
11819 Piney Glen Ln Potomac MD 20854-1414 |
Practice Telephone | 3012996513 |
Practice Fax Number | 3012990419 |
Mailing Telephone | 3012579252 |
Mailing Fax Number | 3019832487 |
Enumeration Date | 2008-01-23 |
Last Update Date | 2008-01-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1101001153 | VA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | LICENSE | 1101001153 | 01 |
Street Address |
9812 FALLS RD |
City | POTOMAC |
State | MD |
Zip Code | 20854-3976 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215960562 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 9812 Falls Rd, Potomac, MD 20854-3976 | 2006-07-09 |
1164023818 | Carol Eileen Maio | Pharmacist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2020-11-07 |
1972104917 | Sue Kyung Yi | Pharmacist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2020-11-05 |
1407457518 | Lisa Chang | Pharmacist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2020-11-04 |
1568095735 | Dentistry for Children of Maryland 2 LLC | Clinic/Center | 9812 Falls Rd, Potomac, MD 20854-3976 | 2020-02-17 |
1578022919 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9812 Falls Rd, Potomac, MD 20854-3976 | 2019-03-15 |
1790162998 | Specialist In Orthodontics of Maryland, LLC | Dentist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2015-04-27 |
1144607342 | Dentistry for Children of Maryland, LLC | Dentist | 9812 Falls Rd, Potomac, MD 20854-3976 | 2015-04-27 |
1346671062 | Benita Scott | Chore Provider | 9812 Falls Rd, Suite #114-299, Potomac, MD 20854-3976 | 2013-12-05 |
1336397496 | Amy Light, Dmd, PC | Dentist | 9812 Falls Rd, Suite 118, Potomac, MD 20854-3976 | 2008-09-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
Find all providers in zip 20854 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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1184234098 | Azar/filipov Md Pa | Technician/Technologist | 31519 Winterplace Pkwy Ste 1, Salisbury, MD 21804-1894 | 2020-08-05 |
1962011510 | Edmund Hilliman | Technician/Technologist | 3202 Ridgeway Pl, Windsor Mill, MD 21244-1021 | 2020-07-29 |
1063047827 | Jeremiah Beauvilet | Technician/Technologist | 519 Lake Vista Cir Apt I, Cockeysville, MD 21030-5250 | 2020-03-11 |
1891326195 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 1380 Progress Way Ste 108, Eldersburg, MD 21784-6498 | 2020-01-27 |
1356985964 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 200 Washington Heights Medical Cetner, Westminster, MD 21157-2115 | 2019-11-06 |
1952969503 | Catonsville Vision Partners | Technician/Technologist | 405 Frederick Rd Ste 106, Baltimore, MD 21228-4646 | 2019-05-30 |
1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
1326539081 | Daniel Dario Lorenzo | Technician/Technologist | 6811 Kenilworth Ave Fl 5, Riverdale, MD 20737-1333 | 2018-05-29 |
1215436357 | National Vision. Inc. | Technician/Technologist | 1401 Merritt Blvd # F, Baltimore, MD 21222-2140 | 2018-02-05 |
1972017358 | Chippewa Optical LLC | Technician/Technologist | 305 Reisterstown Rd, Baltimore, MD 21208-5313 | 2017-11-21 |
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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.