Active NPI
Robert Francis Gilligan, O.D.
- Optometrist
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1169
- Practice address
- 1052 W Patrick St
Frederick, MD 21703-3963 - Phone
- (301) 620-7307
- Fax
- (301) 696-1022
- NPI assigned
- Nov 28, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1169 | MD | Primary |
Addresses
Primary practice location
1052 W Patrick St
Frederick, MD 21703-3963
Mailing address
1052 W Patrick St
Frederick, MD 21703-3963
Phone (301) 620-7307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1052 W Patrick St
Frederick, MD 21703-3963
Phone (301) 620-7307
1700 Kingfisher Dr
Suite 9
Frederick, MD 21701-4770
Phone (301) 874-5777
2936 Festival Way
Suite 409a
Waldorf, MD 20601-2957
Phone (301) 710-6919
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA1169 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Silver Spring Optometry, LLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Past | Accepting new patients |
| Robert F Gilligan | Optometrist | Past | 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 8
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": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1063588150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1052 W PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217033963",
"telephone_number": "301-620-7307",
"fax_number": "301-696-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 W PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217033963",
"telephone_number": "301-620-7307",
"fax_number": "301-696-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIGAN",
"first_name": "ROBERT",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.