Individual provider Active NPI

Anna Zemelshtern, OD

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1346266376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1943 Issued in MD
Practice address
6412 Reisterstown Road
Charm City Optical
Baltimore, MD 21215-2308
Phone
(410) 764-9360
Fax
(410) 764-3229
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1943 MD Primary

Addresses

Primary practice location

6412 Reisterstown Road
Charm City Optical
Baltimore, MD 21215-2308

Mailing address

6412 Reisterstown Road
Baltimore, MD 21215-2308
Phone (410) 764-9360

Other identifiers 1

IdentifierTypeStateIssuer
407758000MedicaidMD

Other names 1

  • Dr. Anna Rakhunov Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060426000130 MD Practitioner - Optometry 0042220758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baltimore Optical IncGroup PAC ID 3971513680, 2 clinicians

Practice addresses (Care Compare)

6412 Reisterstown Rd
Baltimore, MD 21215-2308
Phone (410) 764-9360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1943MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Optical Inc Optometrist CurrentSince Jul 28, 2019 Accepting new patients

Locations

6412 Reisterstown Rd
Baltimore, MD 21215
Phone (410) 764-9360

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346266376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 REISTERSTOWN ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152308",
            "telephone_number": "410-764-9360",
            "fax_number": "410-764-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 REISTERSTOWN ROAD",
            "address_2": "CHARM CITY OPTICAL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152308",
            "telephone_number": "410-764-9360",
            "fax_number": "410-764-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMELSHTERN",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407758000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "RAKHUNOV",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.