Individual provider Active NPI

Rita Vekker, O.D

  • Optometrist
  • Owings Mills, MD
National Provider Identifier
1710212238
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2174 Issued in MD
Practice address
10270 Mill Run Cir
Owings Mills, MD 21117-4214
Phone
(410) 929-4717
NPI assigned
Oct 16, 2009
Last updated
Jul 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2174 MD Primary

Addresses

Primary practice location

10270 Mill Run Cir
Owings Mills, MD 21117-4214

Mailing address

2 Ivory Crest CT
Baltimore, MD 21209-1561
Phone (443) 570-1848

Other names 1

  • Rita Spicinetskiy 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
I20091203000517 MD Practitioner - Optometry 6709925746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10270 Mill Run Cir
Owings Mills, MD 21117-4214
Phone (410) 929-4717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2174MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
VR Optical, LLC Optometrist CurrentSince Apr 21, 2020 Accepting new patients
Barenburg Optical Service, Inc Optometrist CurrentSince Nov 1, 2009 Accepting new patients

Locations

100 Park Ave
Baltimore, MD 21201
Phone (410) 727-0285

10270 Mill Run Cir
Owings Mills, MD 21117
Phone (410) 929-4717

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": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1710212238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 IVORY CREST CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091561",
            "telephone_number": "443-570-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10270 MILL RUN CIR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174214",
            "telephone_number": "410-929-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEKKER",
        "first_name": "RITA",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "SPICINETSKIY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.