EAGLE EYE CARE, P.A. (NPI# 1467593582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467593582 |
| Entity Type | Organization |
| Organization Name | EAGLE EYE CARE, P.A. |
| Practice Address |
6350 Stevens Forest Rd Suite 101 Columbia MD 21046-3231 |
| Practice Telephone | 4109648516 |
| Practice Fax Number | 4107408626 |
| Mailing Telephone | 4109648516 |
| Mailing Fax Number | 4107408626 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2010-04-16 |
| Authorized Official Name | DR. FRED JEFFREY SIROTKIN (OWNER-OPTOMETRIST) |
| Authorized Official Telephone | 4109648516 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | TA 0870 | MD | Suppliers |
| Street Address |
6350 STEVENS FOREST RD SUITE 101 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116199 | Alice H Tsai | Pediatrics | 6350 Stevens Forest Rd, Suite 103, Columbia, MD 21046-3231 | 2005-07-05 |
| 1861659740 | Sherry Narang Kalla | Ophthalmology | 6350 Stevens Forest Rd, Suite 101, Columbia, MD 21046 | 2008-05-19 |
| 1649491028 | Maureen Grundy | Obstetrics & Gynecology | 6350 Stevens Forest Rd, Jhcp @ Howard County, Columbia, MD 21046-3231 | 2007-05-01 |
| 1346388824 | Natalia Aimee Colon Guzman | Obstetrics & Gynecology | 6350 Stevens Forest Rd, Suite 105, Columbia, MD 21046-3231 | 2007-02-05 |
| 1821109596 | Fred Jeffrey Sirotkin | Optometrist | 6350 Stevens Forest Rd, Suite #101, Columbia, MD 21046-3231 | 2006-08-31 |
| 1821008491 | Nia Leak | Obstetrics & Gynecology | 6350 Stevens Forest Rd, Columbia, MD 21046-3231 | 2006-08-08 |
| 1497762199 | Francisco Rojas | Obstetrics & Gynecology | 6350 Stevens Forest Rd, Suite 102, Columbia, MD 21046-3231 | 2006-08-02 |
| 1962418855 | Kimberly Moran Turner | Specialist | 6350 Stevens Forest Rd, Suite 105, Columbia, MD 21046-3231 | 2006-07-31 |
| 1215961610 | Andrea Kwong | Obstetrics & Gynecology | 6350 Stevens Forest Rd, Suite 102, Columbia, MD 21046-3231 | 2006-07-10 |
| 1306878699 | Deepak A. Shah | Family Medicine | 6350 Stevens Forest Rd, Suites 102 & 105, Columbia, MD 21046-3231 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1013344969 | Four Sight | Eyewear Supplier (Equipment, not the service) | 10015 Old Columbia Rd Ste J135, Columbia, MD 21046-1741 | 2013-10-07 |
| 1740626068 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 100 Columbiana Circle 102, Columbia, SC 29212-2231 | 2013-05-14 |
| 1821356049 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 304 Forum Dr, Columbia, SC 29229-7939 | 2012-04-25 |
| 1073813606 | Emerging Vision | Eyewear Supplier (Equipment, not the service) | 10300 Little Patuxent Parkway, Columbia, MD 21044 | 2010-10-29 |
| 1053643528 | Eyemart Express | Eyewear Supplier (Equipment, not the service) | 201 Harbison Blvd, Columbia, SC 29212-2218 | 2010-02-08 |
| 1730315151 | Sansbury Eye Center | Eyewear Supplier (Equipment, not the service) | 121 Lucy Lane, Columbia, SC 29229 | 2009-06-01 |
| 1174773535 | Eye Concepts, LLC | Eyewear Supplier (Equipment, not the service) | 331 Killian Rd Ste B2, Columbia, SC 29203-8926 | 2008-09-23 |
| 1184872475 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2988 Burkesville Rd., Columbia, KY 42728 | 2008-08-29 |
| Find all providers in COLUMBIA | ||||
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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.