Angela Hanneman, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA 2529 Issued in MD

Practice address

1311 S Main St Ste 104
Mount Airy, MD 21771-5451

Phone

(301) 829-4118

NPI assigned

Jun 14, 2016

Last updated

Dec 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Illinois College of Optometry at Chicago, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Solo Eye Care LLCGroup PAC ID 8022157270, 2 clinicians

Catonsville Eye Associates LLCGroup PAC ID 1153793302, 3 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.

• Catonsville Eye Associates LLC

  dba peepers family eye care

  • Eyewear Supplier
  • Catonsville, MD
  • NPI 1700135761
  Medicare reassignment Care Compare group NPD
• Solo Eye Care LLC

  • Optometrist
  • Mount Airy, MD
  • NPI 1932431681
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Mount Airy, MD
  • NPI 1457868655
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1659721272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S MAIN ST STE 104",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715451",
            "telephone_number": "301-829-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S MAIN ST STE 104",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715451",
            "telephone_number": "301-829-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNEMAN",
        "first_name": "ANGELA",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA 2529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crisanto Talpa Guillermo, PT
• Ellen Kristen Gustafson, DPT
• Guy Cappuccino, MD LLC
• Suhad (Sue) S Haddad, PHD, LCPC, NCC
• Stephanie Hamilton, DPT
• Jill Harper
• Dylan Hartmann, LCSW-C
• Terrance Larry Hartmann, PA-C
• David Michael Hasson, D.M.D.
• Carolyn Hayden, ATC

• Optometrist in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.