Active NPI
Abraham Solomon Zuckerbrod, O.D.
- Optometrist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2257
- Practice address
- 1860B Reisterstown Rd
Baltimore, MD 21208-1335 - Phone
- (410) 864-2526
- Fax
- (410) 230-1221
- NPI assigned
- Jan 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | TA2257 | MD | |
| Optometrist | 152W00000X | TA2257 | MD | Primary |
Addresses
Primary practice location
1860B Reisterstown Rd
Baltimore, MD 21208-1335
Mailing address
1860B Reisterstown Rd
Baltimore, MD 21208-1335
Phone (410) 864-2526
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TA2257 | Other | MD | MD OPTOMETRY LICENSE |
| 777335800 | Medicaid | MD |
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
- State University of New York - State College Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1860 Reisterstown Rd
Suite B
Baltimore, MD 21208-1335
Phone (410) 428-4182
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Personaleyes 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 |
| Rockville Optometry, LLC | Optometrist | Current | Accepting new patients |
| Ronald B Montano DDS PC | Past | Accepting new patients | |
| Michael G Pharris OD PC | Optometrist | Past | Accepting new patients |
Locations
1860 Reisterstown Rd
#B
Baltimore, MD 21208
Phone (410) 428-4182
6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206
1860B Reisterstown Rd
Baltimore, MD 21208
Phone (410) 864-2526
6455 Dobbin Rd
Ste 47
Columbia, MD 21045
Phone (443) 542-5999
14700 Baltimore Ave
Unit 109
Laurel, MD 20707
Phone (301) 245-3903
1860 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 415-5105
14929 Shady Grove Rd
Unit K
Rockville, MD 20850
Phone (301) 424-1050
8529 Georgia Ave
Silver Spring, MD 20910
Phone (301) 588-3232
2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 7
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.
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-
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- NPI 1972900058
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1205106648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860B REISTERSTOWN RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212081335",
"telephone_number": "410-864-2526",
"fax_number": "410-230-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860B REISTERSTOWN RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212081335",
"telephone_number": "410-864-2526",
"fax_number": "410-230-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKERBROD",
"first_name": "ABRAHAM",
"middle_name": "SOLOMON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-02",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MD",
"license": "TA2257",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD OPTOMETRY LICENSE",
"identifier": "TA2257",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "777335800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.