DOUGLAS J LAVENBURG MD PA (NPI# 1831276385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831276385 |
| Entity Type | Organization |
| Organization Name | DOUGLAS J LAVENBURG MD PA |
| Practice Address |
103 Chesapeake Blvd Ste C Elkton MD 21921-6313 |
| Practice Telephone | 4103926133 |
| Practice Fax Number | 4103924958 |
| Mailing Telephone | 4103926133 |
| Mailing Fax Number | 4103924958 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-03-16 |
| Authorized Official Name | DOUGLAS J LAVENBURG (PRESIDENT) |
| Authorized Official Telephone | 4103926133 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | C10002822 | DE | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000542402 | 05 | |
| MD | 116251900 | 05 |
| Street Address |
103 CHESAPEAKE BLVD STE C |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306924170 | Delmar Surgical Center LLC | Clinic/Center | 103 Chesapeake Blvd Ste C, Elkton, MD 21921-6313 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| 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 |
|---|---|---|---|---|
| 1164032512 | Bright Eyes Clinic, LLC | Optometrist | 2290 W Jeff Davis Hwy, Elkton, KY 42220-8708 | 2020-07-31 |
| 1043583156 | Try State Eye LLC | Optometrist | 117 Landing Ln, Elkton, MD 21921-5255 | 2012-02-21 |
| 1215188255 | Lee William Robertson | Optometrist | 204 W Spotswood Trail, Elkton Eyecare, Elkton, VA 22827 | 2008-10-08 |
| 1427212414 | Jerry Durnan | Optometrist | 360 E Pulaski Hwy Ste 1b, Elkton, MD 21921-6592 | 2008-07-18 |
| 1407046071 | Rebecca Jean Shilts | Optometrist | 202b S Bridge St, Elkton, MD 21921-5915 | 2007-07-30 |
| 1881711786 | Sites Vision Clinic | Optometrist | 81 Public Square Ave., Elkton, KY 42220 | 2007-03-23 |
| 1386668705 | Paula Putman Murray | Optometrist | 81 Public Square East, Sites Vision Clinic, Elkton, KY 42220 | 2006-07-27 |
| 1902825409 | Garner H Downey | Optometrist | 304 W Spotswood Ave, Elkton, VA 22827-1100 | 2006-07-18 |
| 1083640429 | Grifasi Eyecare and Optical, Inc. | Optometrist | 202b South Bridge Str., Elkton, MD 21921-5915 | 2006-06-25 |
| 1285698233 | Drs Resnick & Manspeaker Oa Pa | Optometrist | 117 Landing Lane, Elkton, MD 21921-0464 | 2006-04-14 |
| Find all providers in ELKTON | ||||
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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.