Advanced Family Vision Care, LLC
Organization Active NPI Optometrist · Gambrills, MD
NPI 1194139972 · NPPES record last updated Jun 19, 2014
Key facts
- NPI
- 1194139972
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- TA2234 (MD)
- Legal business name
- ADVANCED FAMILY VISION CARE, LLC
- Practice address
- 331 Gambrills Rd
Suite 3
Gambrills, MD 21054-1141 - Phone
- (443) 351-8079
- NPI assigned
- Jun 19, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Michelle May, O.D.
- Title
- Doctor
- Phone
- (443) 351-8079
Practitioners 2
-
Michelle Ann May, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141112001655 | MD | Part B Supplier - Clinic/Group Practice | 9436371184 |
Receives reassigned benefits from 1 practitioner Practice locations: Gambrills, MD |
National Provider Directory
Locations
331 Gambrills Rd
Ste 3
Gambrills, MD 21054
Phone (410) 923-3672
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | TA2234 | MD | Yes |
Addresses
Primary practice location
331 Gambrills Rd
Suite 3
Gambrills, MD 21054-1141
Mailing address
331 Gambrills Rd
Suite 3
Gambrills, MD 21054-1141
Phone (443) 351-8079
Other providers in Gambrills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.