PROFESSIONAL VISION OF ELLICOTT CITY, INC. (NPI# 1952796187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952796187 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL VISION OF ELLICOTT CITY, INC. |
| Practice Address |
9150 Baltimore National Pike Ste 15 Ellicott City MD 21042-2614 |
| Practice Telephone | 4104656166 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | ANN M GALLAGHER (OPTOMETRIST) |
| Authorized Official Telephone | 4104656166 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | MD | Eye and Vision Services Providers |
| Street Address |
9150 BALTIMORE NATIONAL PIKE STE 15 |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| 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 |
|---|---|---|---|---|
| 1467843516 | Myeyedr Optometry of Maryland, LLC | Optometrist | 10050 Baltimore National Pike Ste F100, Ellicott City, MD 21042-3684 | 2015-02-11 |
| 1679829030 | Danielle Baran | Optometrist | 5012 Dorsey Hall Dr Ste 105, Ellicott City, MD 21042-7909 | 2012-08-02 |
| 1801022686 | Ronak Mehta | Optometrist | 8358 Montgomery Run Rd, Unit H, Ellicott City, MD 21043-7286 | 2009-06-07 |
| 1447396700 | Michael A. Robin | Optometrist | 10176 Baltimore National Pike, Suite 113, Ellicott City, MD 21042 | 2007-01-30 |
| 1255432928 | Christina E. Generie | Optometrist | 5725 Richards Valley Rd Ste A9, A-9, Ellicott City, MD 21043-6964 | 2006-09-26 |
| 1871607549 | Ann Marie Gallagher | Optometrist | 9150 Baltimore National Pike, Ste 15, Ellicott City, MD 21042 | 2006-08-18 |
| 1669483301 | Lila Anne Goodwin | Optometrist | 10050 Baltimore National Pike, Ellicott City, MD 21042-3501 | 2006-08-10 |
| 1063448983 | Ronald Mark Berger | Optometrist | 5012 Dorsey Hall Dr, Suite 105, Ellicott City, MD 21042-7711 | 2006-06-23 |
| 1376897157 | Ellicott City Eye Care, Inc. | Optometrist | 10176 Baltimore National Pike, Ellicott City, MD 21042-3650 | 2012-11-01 |
| 1558592204 | Julie Eunyoung Cho | Optometrist | 8815 Baltimore National Pike, Ellicott City, MD 21043-4154 | 2009-07-29 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
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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.