SPECTACULAR EYE CARE LLC (NPI# 1356438808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356438808 |
| Entity Type | Organization |
| Organization Name | SPECTACULAR EYE CARE LLC |
| Practice Address |
509 S. Cherry Grove Ave Suite C Annapolis MD 21401-4244 |
| Mailing Address |
509 S Cherry Grove Ave Suite C Annapolis MD 21401-4244 |
| Practice Telephone | 4102684393 |
| Mailing Telephone | 4102684393 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CARRIE HUBBELL (OWNER) |
| Authorized Official Telephone | 4102684393 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TA1798 | MD | Eye and Vision Services Providers |
| Street Address |
509 S. CHERRY GROVE AVE SUITE C |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-4244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| 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 |
|---|---|---|---|---|
| 1205296860 | Myeyedr Optometry of Maryland, LLC | Optometrist | 2321e Forest Dr, Annapolis, MD 21401-3833 | 2016-02-25 |
| 1487090114 | Nicole A Regis | Optometrist | 127 Lubrano Dr Ste 301, Annapolis, MD 21401-7560 | 2013-05-21 |
| 1154632594 | Ashley N. Westbrook | Optometrist | 701 Pearson Point Pl, Annapolis, MD 21401-4577 | 2010-06-30 |
| 1134339609 | Allison C Ashbeck | Optometrist | 2091 West St, Annapolis, MD 21401-3005 | 2007-05-23 |
| 1770616294 | Td-annapolis Inc | Optometrist | 2331a Forest Dr, Annapolis, MD 21401-3833 | 2007-03-13 |
| 1144372103 | Aurora Vision Group, P.C. | Optometrist | 2567 Housley Rd, Annapolis, MD 21401-6751 | 2007-01-18 |
| 1720150915 | Brian Anthony Gonzales | Optometrist | 2002 Medical Pkwy Ste 320, Annapolis, MD 21401-7901 | 2006-11-14 |
| 1407952179 | George B. Shields | Optometrist | 1905 Towne Centre Blvd, Annapolis, MD 21401-3594 | 2006-09-16 |
| 1215042742 | Carrie Nicole Hubbell | Optometrist | 509 S Cherry Grove Ave, Spectacular Eye Care, Suite C, Annapolis, MD 21401-4244 | 2006-08-21 |
| 1881632313 | Penelope Stammer Doud | Optometrist | 130 Holiday Ct, Suite 109, Annapolis, MD 21401-7003 | 2006-06-04 |
| Find all providers in ANNAPOLIS | ||||
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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.