GEM OPTICAL, LLC (NPI# 1437346459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437346459 |
| Entity Type | Organization |
| Organization Name | GEM OPTICAL, LLC |
| Practice Address |
6603 Riverdale Rd Riverdale MD 20737-2908 |
| Practice Telephone | 3019180095 |
| Practice Fax Number | 3019180097 |
| Mailing Telephone | 3019180095 |
| Mailing Fax Number | 3019180097 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2011-06-13 |
| Authorized Official Name | GAIL ANN PETERSEN (OWNER) |
| Authorized Official Telephone | 3019180095 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TA1874 | MD | Eye and Vision Services Providers |
| Street Address |
6603 RIVERDALE RD |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508922717 | Gail Ann Petersen | Optometrist | 6603 Riverdale Rd, Riverdale, MD 20737-2908 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1033694542 | Millicent Conteh | Home Health Aide | 6833 Riverdale Road Apt 201c, Riverdale, MD 20737 | 2018-10-01 |
| 1831675388 | Violet Horsfall Osai | Home Health Aide | 5519 Nicholson Street, 202, Riverdale, MD 20737 | 2018-07-18 |
| 1801329867 | Zainab Bangura | Home Health Aide | 6831 Riverdale Road, C201, Riverdale, MD 20737 | 2017-04-06 |
| 1770035768 | Sheila Acheampong | Occupational Therapy Assistant | 4409 East West Hway, Riverdale, MD 20737 | 2016-10-26 |
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1841677531 | Andre Demetrius Brown Jr. | Home Health Aide | 4706 Oliver Street, Riverdale, MD 20737 | 2015-05-01 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1487054870 | Kilimot Emiola | Home Health Aide | 6139 64th Ave., Apt 3, Riverdale, MD 20737 | 2014-09-04 |
| Find all providers in zip 20737 | ||||
| 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 |
|---|---|---|---|---|
| 1962989632 | Alyson Escalona | Optometrist | 92 Nj-23, Riverdale, NJ 07457 | 2018-07-25 |
| 1669852083 | Rajini Seevaratnam | Optometrist | 5711 Sarvis Ave Ste 402, Riverdale, MD 20737-1365 | 2015-06-01 |
| 1093999237 | Lisa Valerie Gaines-smith | Optometrist | 48 State Route 23 North, Riverdale, NJ 07457-1602 | 2007-12-24 |
| 1508922717 | Gail Ann Petersen | Optometrist | 6603 Riverdale Rd, Riverdale, MD 20737-2908 | 2006-12-29 |
| 1861439119 | Fred Osaretin Osayi | Optometrist | 7583 Highway 85, Riverdale, GA 30274-3438 | 2006-06-02 |
| 1104816743 | Roy Raymond Gibson | Optometrist | 4949 S 900 W, Riverdale, UT 84405-3777 | 2005-10-25 |
| 1710456975 | Eye Pros of Ogden | Optometrist | 4115 Riverdale Rd, Riverdale, UT 84405-3509 | 2018-11-16 |
| 1922520501 | Haley Penrod | Optometrist | 131 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 | 2017-07-14 |
| 1801316138 | Boster Vision, LLC | Optometrist | 4848 S 900 W, Riverdale, UT 84405-3726 | 2017-06-27 |
| 1962886986 | Christine Elizabeth Corrente | Optometrist | 92 Route 23 North, Suite E, Riverdale, NJ 07457 | 2015-07-20 |
| Find all providers in RIVERDALE | ||||
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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.