MYEYEDR OPTOMETRY OF MARYLAND, LLC (NPI# 1407215676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407215676 |
| Entity Type | Organization |
| Organization Name | MYEYEDR OPTOMETRY OF MARYLAND, LLC |
| Practice Address |
30 Shining Willow Way # 30-b La Plata MD 20646-4224 |
| Mailing Address |
1950 Old Gallows Rd Suite 520 Vienna VA 22182-3990 |
| Practice Telephone | 2405234555 |
| Mailing Telephone | 7038478899 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | SUE DOWNES (SECRETARY) |
| Authorized Official Telephone | 7038478899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366086084 | Myeyedr Optometry of Maryland, LLC | Optometrist | 7305 Baltimore Ave Ste 202, College Park, MD 20740-3232 | 2019-11-06 |
| 1457868655 | Myeyedr Optometry of Maryland, LLC | Optometrist | 1311 S Main St Ste 104, Mount Airy, MD 21771-5451 | 2018-01-09 |
| 1205343407 | Myeyedr Optometry of Maryland, LLC | Optometrist | 6567 Baltimore National Pike, Catonsville, MD 21228-3906 | 2018-01-09 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1306294137 | Myeyedr Optometry of Maryland, LLC | Optometrist | 12101 Winchester Rd Ste 102, Lavale, MD 21502 | 2016-06-02 |
| 1720436553 | Myeyedr Optometry of Maryland, LLC | Optometrist | 5500 Buckeystown Pike Ste 892, Frederick, MD 21703-9441 | 2016-06-02 |
| 1205296860 | Myeyedr Optometry of Maryland, LLC | Optometrist | 2321e Forest Dr, Annapolis, MD 21401-3833 | 2016-02-25 |
| 1801256466 | Myeyedr Optometry of Maryland, LLC | Optometrist | 6110a Dobbin Rd, Columbia, MD 21045-5843 | 2016-02-25 |
| 1154781722 | Myeyedr Optometry of Maryland, LLC | Optometrist | 1580 Wesel Blvd Ste H, Hagerstown, MD 21740-2503 | 2016-02-25 |
| 1841650405 | Myeyedr Optometry of Maryland, LLC | Optometrist | 7550 Teague Rd Ste 114, Hanover, MD 21076-1339 | 2016-02-25 |
| Street Address |
30 SHINING WILLOW WAY # 30-B |
| City | LA PLATA |
| State | MD |
| Zip Code | 20646-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
| 1912485244 | Kelli Hill Goldsborough | Nurse Practitioner | 5 N La Plata Ct Ste 101, La Plata, MD 20646 | 2018-07-30 |
| 1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
| 1801261532 | Catherine Deshetler | Social Worker | 5 N Maple Ave Ste 206, La Plata, MD 20646 | 2015-12-07 |
| 1215346481 | Brittany Godin | Speech-Language Pathologist | 5 Garrett Avenue, La Plata, MD 20646 | 2014-08-12 |
| 1558787606 | Homeplace Assisted Living | Assisted Living Facility | 10210 La Plata Rd, La Plata, MD 20646 | 2014-03-13 |
| 1891056628 | Godfrey T Hewitt | Dentist | 6620 Crain Hwy #204, Laplata, MD 20646 | 2012-06-07 |
| 1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
| 1023315348 | Charity E Dugan | Surgery | Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 | 2011-02-23 |
| Find all providers in zip 20646 | ||||
| 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 |
|---|---|---|---|---|
| 1093979874 | Roger Marvin Allyn | Optometrist | 1170 Hwy 170, La Plata, NM 87418-0269 | 2008-07-11 |
| 1023114279 | Eric Goulston | Optometrist | 30 Shining Willow Way Ste 30-b, La Plata, MD 20646 | 2006-09-15 |
| 1497014328 | Tech-sol Inc. | Optometrist | 40 Drury Dr, La Plata, MD 20646-4220 | 2012-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149207 | Diana Chu | Optometrist | 7500 Greenway Center Dr Ste 300, Greenbelt, MD 20770-3551 | 2020-06-24 |
| 1447876040 | Rachel Cho | Optometrist | 8900 Columbia 100 Pkwy Ste L, Columbia, MD 21045-2336 | 2020-06-19 |
| 1407471758 | Amanda Dawn Morris | Optometrist | Perry Point Va Medical Center - Va Maryland Health Care, Perry Point, MD 21902 | 2020-06-12 |
| 1295358141 | National Vision Inc | Optometrist | 11281 New Hampshire Ave, Silver Spring, MD 20904-2631 | 2020-05-27 |
| 1508488123 | Tamara Mendez Od LLC | Optometrist | 8401 Connecticut Ave Ste 102, Chevy Chase, MD 20815-5820 | 2020-05-18 |
| 1912528324 | Sfam 2020, Inc | Optometrist | 2441 Chillum Rd, Hyattsville, MD 20782-3630 | 2020-04-27 |
| 1982232922 | Katzen Medical Associates | Optometrist | 6325 Woodside Ct Ste 125, Columbia, MD 21046-3215 | 2020-03-27 |
| 1124650916 | National Vision Inc | Optometrist | 7256 Guilford Dr, Frederick, MD 21704-5167 | 2020-02-10 |
| 1811537061 | Chesapeake Eye Care & Laser Center LLC | Optometrist | 220 Champion Dr Ste 100, Hagerstown, MD 21740-6665 | 2020-01-15 |
| 1366086084 | Myeyedr Optometry of Maryland, LLC | Optometrist | 7305 Baltimore Ave Ste 202, College Park, MD 20740-3232 | 2019-11-06 |
| 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.