Individual provider Active NPI

Lindsay Marie Agro, OD

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1487110656
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2720 Issued in MD
Practice address
10 N Greene St
Baltimore, MD 21201-1524
Phone
(410) 605-7000
NPI assigned
Feb 13, 2019
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5622 FL
Optometrist 152W00000X TA2720 MD Primary

Addresses

Primary practice location

10 N Greene St
Baltimore, MD 21201-1524

Mailing address

407 E Cross St
Baltimore, MD 21230-4125
Phone (954) 464-9070

Other practice location 1

3401 Box Hill Corporate Center Dr Ste 202
Abingdon, MD 21009-1200
Phone (410) 569-0707

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
I20210122000070 MD Practitioner - Optometry 6204240823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
82.7
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5622FLMDOptometrist
TA2720MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Katzen Medical Associates, PC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients

Locations

3401 Box Hll Corp Center Dr
Ste 202
Abingdon, MD 21009
Phone (410) 569-0707

301 Saint Paul St
Ste 902
Baltimore, MD 21202
Phone (410) 727-8380

7106 Ridge Rd
Rosedale, MD 21237
Phone (410) 687-2300

Interoperability endpoints

  • Direct secure messaging: lindsay.agro.p1@direct.katzeneye.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1487110656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E CROSS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304125",
            "telephone_number": "954-464-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011524",
            "telephone_number": "410-605-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Box Hill Corporate Center Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "MD",
            "postal_code": "210091200",
            "country_code": "US",
            "telephone_number": "410-569-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGRO",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5622",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.