MATTHEW BRODAK (NPI# 1477727055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477727055 |
| Entity Type | Individual |
| Full Name | MATTHEW BRODAK |
| Credential | O.D. |
| Practice Address |
9673 Lost Knife Rd Gaithersburg MD 20877-2622 |
| Practice Telephone | 3013304265 |
| Practice Fax Number | 3019634508 |
| Mailing Telephone | 3013304265 |
| Mailing Fax Number | 3019634508 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2018-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TA1115 | MD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 214308900 | 05 |
| Street Address |
9673 LOST KNIFE RD |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144374802 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 9673 Lost Knife Rd, Gaithersburg, MD 20879 | 2007-01-22 |
| 1679853402 | Montgomery Village Eyecare Associates, Inc. | Optometrist | 9673 Lost Knife Rd, Gaithersburg, MD 20877-2622 | 2011-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| 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 |
|---|---|---|---|---|
| 1275774234 | Kentlands Optometry, LLC | Optometrist | Kentlands Place Shopping Center, 80 Market Street, Gaithersburg, MD 20878 | 2009-03-20 |
| 1831342393 | Thomas Srun | Optometrist | 20414 Sawgrass Dr, Gaithersburg, MD 20886-4597 | 2008-10-28 |
| 1316159650 | An N Hollier | Optometrist | 832 Muddy Branch Rd, Gaithersburg, MD 20878-2780 | 2007-05-07 |
| 1649349457 | Gabriela Miller | Optometrist | 19221 Montgomery Village Ave Ste C11, Gaithersburg, MD 20886-5045 | 2006-11-07 |
| 1962509224 | Visionworks, Inc. | Optometrist | 631 N Frederick Ave, Gaithersburg, MD 20879-3306 | 2006-09-20 |
| 1972614923 | Mark Steven Lund | Optometrist | 6 Grand Corner Ave, Gaithersburg, MD 20878-7303 | 2006-08-31 |
| 1063463040 | Barry M. Lebowitz | Optometrist | 12129 Darnestown Rd, Gaithersburg, MD 20878-2205 | 2006-05-13 |
| 1639171960 | Mark P Borsuk | Optometrist | 108 Olde Towne Ave, Ste 16, Gaithersburg, MD 20877-6005 | 2005-05-31 |
| 1265948525 | Cvs Aoc Services, L.L.C. | Optometrist | 12215 Darnestown Rd, Gaithersburg, MD 20878-2203 | 2017-12-22 |
| 1881070035 | Vision Care Solutions, Inc | Optometrist | 6 Grand Corner Ave, Gaithersburg, MD 20878-7303 | 2015-08-10 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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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.