Alisa Perle Mandel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1776 Issued in MD

Practice address

9750 Reisterstown Rd
Walmart Vision Center
Owings Mills, MD 21117-4147

Phone

(443) 394-7124

Fax

(443) 394-9511

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Dr. Alisa Mandel

  dba Mandel Vision Care

  • Optometrist
  • Pikesville, MD
  • NPI 1033726203
  NPD Authorized official
• Mandel Vision Care LLC

  • Optometrist
  • Pikesville, MD
  • NPI 1932770906
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1275674095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 WILLIAMSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151549",
            "telephone_number": "410-963-2977",
            "fax_number": "443-394-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 REISTERSTOWN RD",
            "address_2": "WALMART VISION CENTER",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174147",
            "telephone_number": "443-394-7124",
            "fax_number": "443-394-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "ALISA",
        "middle_name": "PERLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Malik, DPM
• Mallare and Associates, LLC
• Stacy S Mallare
• Tatyana Maltseva, LIC. ACUPUNCTURIST
• Rebecca Mancoll
• Bruce P. Mandel, D.D.S.
• Ira Mandell, M.D.
• Jonathan Scott Mandras, D.D.S.
• Genevieve Manger
• Recairdo Demetrius Mangrum, PH.D.

• Optometrist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.
• 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.