FRED JEFFREY SIROTKIN (NPI# 1821109596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821109596 |
| Entity Type | Individual |
| Full Name | FRED JEFFREY SIROTKIN |
| Credential | O.D. |
| Practice Address |
6350 Stevens Forest Rd Suite #101 Columbia MD 21046-3231 |
| Practice Telephone | 4109648516 |
| Mailing Telephone | 4109648516 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | MD TA870 | MD | Eye and Vision Services Providers |
| 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 |
| 1467593582 | Eagle Eye Care, P.a. | Eyewear Supplier (Equipment, not the service) | 6350 Stevens Forest Rd, Suite 101, Columbia, MD 21046-3231 | 2007-02-09 |
| 1346388824 | Natalia Aimee Colon Guzman | Obstetrics & Gynecology | 6350 Stevens Forest Rd, Suite 105, Columbia, MD 21046-3231 | 2007-02-05 |
| 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 | 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 |
|---|---|---|---|---|
| 1447876040 | Rachel Cho | Optometrist | 8900 Columbia 100 Pkwy Ste L, Columbia, MD 21045-2336 | 2020-06-19 |
| 1982232922 | Katzen Medical Associates | Optometrist | 6325 Woodside Ct Ste 125, Columbia, MD 21046-3215 | 2020-03-27 |
| 1972135754 | Healthy Eyes Vision Group LLC | Optometrist | 1518 Pickens St, Columbia, SC 29201-3449 | 2020-02-10 |
| 1699257881 | Henry Gates | Optometrist | 1 Fort Jackson, Columbia, SC 29207-5000 | 2018-09-04 |
| 1316443146 | Eyes On The Lake LLC | Optometrist | 2914 Dreher Shoals Rd Ste A, Columbia, SC 29212-7909 | 2018-04-02 |
| 1356861025 | Lindsey Vallejo | Optometrist | 816 S James Campbell Boulevard, Columbia, TN 38401 | 2017-06-23 |
| 1639607930 | Valerie L. Gallo | Optometrist | 201 Harbison Blvd Ste 110, Columbia, SC 29212-2270 | 2017-05-31 |
| 1578001293 | Daniel & Max, LLC | Optometrist | 10110 Two Notch Rd, Columbia, SC 29223-4383 | 2017-02-01 |
| 1669832812 | Hirangi Patel | Optometrist | 4601 Forest Dr Ste C, Columbia, SC 29206-3122 | 2016-03-01 |
| 1801256466 | Myeyedr Optometry of Maryland, LLC | Optometrist | 6110a Dobbin Rd, Columbia, MD 21045-5843 | 2016-02-25 |
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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.