Federal Hill Practice LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1176 Issued in MD

Legal business name

FEDERAL HILL PRACTICE LLC

Practice address

1029 Light St
Baltimore, MD 21230-4017

Phone

(410) 752-8208

Fax

(410) 752-7144

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Scott Klasman, ODNPI 1245255769

Title

Optometrist, Member

Phone

(410) 752-8208

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Klasman, O.D.

  • Optometrist
  • Silver Spring, MD
  • NPI 1245255769
  Medicare reassignment Care Compare group NPD Authorized official
• Zack Cosgrove Solomon, OD

  • Optometrist
  • Baltimore, MD
  • NPI 1629746052
  Medicare reassignment Care Compare group NPD
• Calvert Ross Bregel, O.D.

  • Optometrist
  • Baltimore, MD
  • NPI 1528065885
  NPD

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1124520895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 LIGHT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304017",
            "telephone_number": "410-752-8208",
            "fax_number": "410-752-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 LIGHT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304017",
            "telephone_number": "410-752-8208",
            "fax_number": "410-752-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL HILL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "KLASMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OPTOMETRIST, MEMBER",
        "authorized_official_telephone_number": "410-752-8208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Fedde, DPT
• Patricia Feddon, PTA
• Federal Hill Dental LLC
• Federal Hill Medical Center
• Federal Hill Pediatric Center
• Tsippora Federgrun, OT
• David Federline, OT
• Joseph George Federline, PT
• Ilene Miller Federman, LCSW-C
• Rianna Fedora, PHARMD

• Optometrist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.