Individual provider Active NPI

Robert L. Gertz, O.D.

  • Optometrist
  • Urbana, MD
National Provider Identifier
1023158193
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1970 Issued in MD
Practice address
3540 Sugarloaf Pkwy
D-04
Urbana, MD 21704-7912
Phone
(301) 874-5777
Fax
(301) 874-0497
NPI assigned
Feb 7, 2007
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1970 MD Primary

Addresses

Primary practice location

3540 Sugarloaf Pkwy
D-04
Urbana, MD 21704-7912

Mailing address

3540 Sugarloaf Pkwy
D-04
Urbana, MD 21704-7912
Phone (301) 874-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081229000457 DC Practitioner - Optometry 5698837649 Reassigns benefits to 1 organization
I20100715000569 MD Practitioner - Optometry 5698837649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Practice addresses (Care Compare)

2936 Festival Way
Suite 409a
Waldorf, MD 20601-2957
Phone (301) 710-6919

3540 Sugarloaf Pkwy
Suite D04
Frederick, MD 21704-7916
Phone (301) 874-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1970MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Visionary Eyecare Professionals Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist PastSince Dec 15, 2024 Accepting new patients
Bethesda Optometry LLC Optometrist Past Accepting new patients
Aspen Hill Optometry, LLC Optometrist PastSince Jul 21, 2012 Accepting new patients

Locations

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

22610 Newcut Rd
Ste E4A
Clarksburg, MD 20871
Phone (301) 874-5777

1700 Kingfisher Dr
Ste 9
Frederick, MD 21701
Phone (301) 874-5777

5500 Buckeystown Pike
Ste 620
Frederick, MD 21703
Phone (301) 663-4745

7810 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (301) 228-2666

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

3540 Sugarloaf Pkwy
Ste D04
Urbana, MD 21704
Phone (301) 871-5777

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1023158193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SUGARLOAF PKWY",
            "address_2": "D-04",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047912",
            "telephone_number": "301-874-5777",
            "fax_number": "301-874-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SUGARLOAF PKWY",
            "address_2": "D-04",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047912",
            "telephone_number": "301-874-5777",
            "fax_number": "301-874-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERTZ",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, MD

Sources for this page

Verify at the official NPI Registry.