Scott Klasman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1176 Issued in MD

Practice address

13830 Outlet Dr
Silver Spring, MD 20904-4970

Phone

(301) 890-9779

Fax

(301) 890-0923

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Maryland Professional LLCGroup PAC ID 7618316902, 20 clinicians

Federal Hill Practice LLCGroup PAC ID 8921363078, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Federal Hill Practice LLC

  • Optometrist
  • Baltimore, MD
  • NPI 1124520895
  Medicare reassignment Care Compare group NPD Authorized official
• Aeg Maryland Professional LLC

  • Optometrist
  • Gaithersburg, MD
  • NPI 1962182782
  Medicare reassignment Care Compare group NPD
• Eagle Eye Vision Associates, LLC

  • Optometrist
  • Silver Spring, MD
  • NPI 1730330010
  Authorized official Same address or phone

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245255769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9673 GWYNN PARK DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425718",
            "telephone_number": "410-480-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 OUTLET DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044970",
            "telephone_number": "301-890-9779",
            "fax_number": "301-890-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASMAN",
        "first_name": "SCOTT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1176",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET008917",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "922117",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilda Kivembele, HHA
• Diana Yensi Kiven
• David E. Kiwanuka Lubega, LCSW
• Olive Kizito
• Denise Edith Klanacsky, OTR/L
• Mary Kazanecki Klassen-Fischer, M.D.
• Allison Klein
• Julie Klein, PT
• Susan T. Klein, PHD
• Bradford A Kleinman, M.D.

• Optometrist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.