DR. JULENE TINA PENA (NPI# 1649392754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649392754 |
| Entity Type | Individual |
| Full Name | DR. JULENE TINA PENA |
| Credential | O.D., F.A.A.O. |
| Practice Address |
6200 Baltimore Avene Suite 100 Riverdale MD 20737 |
| Mailing Address |
1126 11th St Nw Apt 201 Washington DC 20001-4317 |
| Practice Telephone | 2407375160 |
| Mailing Telephone | 2407375160 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
12343T | CA | Eye and Vision Services Providers |
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
TA2029 | MD | Eye and Vision Services Providers |
| Street Address |
6200 BALTIMORE AVENE SUITE 100 |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1033694542 | Millicent Conteh | Home Health Aide | 6833 Riverdale Road Apt 201c, Riverdale, MD 20737 | 2018-10-01 |
| 1831675388 | Violet Horsfall Osai | Home Health Aide | 5519 Nicholson Street, 202, Riverdale, MD 20737 | 2018-07-18 |
| 1801329867 | Zainab Bangura | Home Health Aide | 6831 Riverdale Road, C201, Riverdale, MD 20737 | 2017-04-06 |
| 1770035768 | Sheila Acheampong | Occupational Therapy Assistant | 4409 East West Hway, Riverdale, MD 20737 | 2016-10-26 |
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1841677531 | Andre Demetrius Brown Jr. | Home Health Aide | 4706 Oliver Street, Riverdale, MD 20737 | 2015-05-01 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1487054870 | Kilimot Emiola | Home Health Aide | 6139 64th Ave., Apt 3, Riverdale, MD 20737 | 2014-09-04 |
| Find all providers in zip 20737 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598126377 | Adaptify Solutions, LLC | Optometrist | 8720 Georgia Ave Ste 302, Silver Spring, MD 20910-3658 | 2016-03-08 |
| 1376837310 | Ashley Danielle Deemer | Optometrist | 600 N Wolfe Street, Wilmer 317, Baltimore, MD 21287-0005 | 2011-06-07 |
| 1225221575 | Lauren A. Gormley | Optometrist | 1209 York Rd, Suite 200, Lutherville Timonium, MD 21093-6207 | 2007-08-21 |
| 1750391579 | Kimberly Anne Deugwillo | Optometrist | 901 Dulaney Valley Rd, Suite 200, Towson, MD 21204-2600 | 2006-08-08 |
| 1962456780 | Bert M. Glaser National Retina Institute, LLC | Optometrist | 901 Dulaney Valley Rd, Suite 200, Towson, MD 21204-2600 | 2006-05-19 |
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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.