MELISSA KUBICK (NPI# 1982829487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982829487 |
| Entity Type | Individual |
| Full Name | MELISSA KUBICK |
| Credential | OD |
| Practice Address |
11110 Mall Cir Waldorf MD 20603-4803 |
| Mailing Address |
11103 West Ave Suite 6 San Antonio TX 78213-1370 |
| Practice Telephone | 3017058383 |
| Practice Fax Number | 3017058388 |
| Mailing Telephone | 2105246509 |
| Mailing Fax Number | 2105246587 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
TA1316 | MD | Eye and Vision Services Providers |
| Street Address |
11110 MALL CIR |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487713756 | Mohamed Kasmani | Optometrist | 11110 Mall Cir, Waldorf, MD 20603-4803 | 2006-12-06 |
| 1053698803 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 11110 Mall Cir, Waldorf, MD 20603-4803 | 2011-11-08 |
| 1023318227 | Heather Anne Hanlon | Optometrist | 11110 Mall Cir, Box 6140, Waldorf, MD 20603-4803 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396967675 | Lennet Hill | Optometrist | 5000 Rt. 301 South, Waldorf, MD 20603 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982104105 | D & G Eye Associates, LLC | Optometrist | 137 Mitchells Chance Rd Ste 120, Edgewater, MD 21037-2793 | 2018-02-14 |
| 1376910539 | Cornea Consultants, P.C. 2 | Optometrist | 5842 Hubbard Dr, Rockville, MD 20852-4820 | 2015-08-24 |
| 1942604608 | Global Complex Eye Care LLC | Optometrist | 2219 York Road, Suite 100, Timonium, MD 21093-3140 | 2014-10-09 |
| 1245479336 | Dr. Alexander C Nnabue and Associates Pa | Optometrist | 8931 Woodyard Rd, Clinton, MD 20735-4203 | 2009-02-12 |
| 1487899928 | Dr. Alexander C. Nnabue & Associates | Optometrist | 10228 Lake Arbor Way, Mitchellville, MD 20721-3113 | 2008-12-12 |
| 1386830586 | Penn Optical Co Ltd | Optometrist | 6315 York Rd, Baltimore, MD 21212-2359 | 2007-09-20 |
| 1053507236 | Penn Optical Co. Ltd | Optometrist | 2122 E Monument St, Baltimore, MD 21205-2334 | 2007-09-20 |
| 1235325432 | Penn Optical Co Ltd | Optometrist | 2483 Frederick Ave, Baltimore, MD 21223-2856 | 2007-09-20 |
| 1659567840 | Penn Optical Co Ltd | Optometrist | 3124 Greenmount Ave, Baltimore, MD 21218-3417 | 2007-09-20 |
| 1841486040 | Penn Optical Co Ltd | Optometrist | 7825 Eastpoint Mall, Baltimore, MD 21224-2120 | 2007-09-20 |
| Find all providers with the same taxonomy | ||||
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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.