Active NPI
Kevin Iskandar, O.D.
- Student in an Organized Health Care Education/Training Program
- Annapolis, MD
National Provider Identifier
1104276716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1903 Towne Centre Blvd
Unit 332
Annapolis, MD 21401-3179 - Phone
- (703) 389-9573
- NPI assigned
- Jun 14, 2016
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1903 Towne Centre Blvd
Unit 332
Annapolis, MD 21401-3179
Mailing address
1903 Towne Centre Blvd
Unit 332
Annapolis, MD 21401-3179
Phone (703) 389-9573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Current | Accepting new patients | |
| Visionworks, Inc. | Current | Accepting new patients | |
| Visionworks, Inc | Current | Accepting new patients |
Locations
15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132
271 Kentlands Blvd
Gaithersburg, MD 20878
Phone (301) 590-9191
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1104276716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 TOWNE CENTRE BLVD",
"address_2": "UNIT 332",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013179",
"telephone_number": "703-389-9573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 TOWNE CENTRE BLVD",
"address_2": "UNIT 332",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013179",
"telephone_number": "703-389-9573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISKANDAR",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.