Angela Mantzavinos, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2926 Issued in MD

Practice address

100 Park Ave
Baltimore, MD 21201-3416

Phone

(410) 727-0285

NPI assigned

May 19, 2023

Last updated

Jul 11, 2023By 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 2

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

Pennsylvania College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woolf LLCGroup PAC ID 0345480273, 3 clinicians

Barenburg Optical Service, IncGroup PAC ID 4880582980, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Barenburg Optical Service, Inc

  • Optometrist
  • Baltimore, MD
  • NPI 1639179112
  Medicare reassignment Care Compare group NPD
• Woolf, LLC

  dba Woolf & Woolf

  • Optometrist
  • Pasadena, MD
  • NPI 1235339524
  Medicare reassignment Care Compare group NPD
• Barenburg Optical Service, Inc

  • Optometrist
  • Ellicott City, MD
  • NPI 1184462095
  NPD
• Macquaid Eye Institute

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Hunt Valley, MD
  • NPI 1831621911
  NPD (past)

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1740971787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 READER LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453922",
            "telephone_number": "443-567-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013416",
            "telephone_number": "410-727-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8556 Fort Smallwood Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211222634",
            "country_code": "US",
            "telephone_number": "410-437-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 N Point Blvd Ste 605",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212243662",
            "country_code": "US",
            "telephone_number": "410-282-3080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9051 Baltimore National Pike",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210423927",
            "country_code": "US",
            "telephone_number": "410-465-4080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1829 Reisterstown Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212087105",
            "country_code": "US",
            "telephone_number": "410-653-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTZAVINOS",
        "first_name": "ANGELA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2926",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Morgan Mantel, M.D.
• Taylor Manthey, MD
• Sarah Mantici, OTR/L
• Ekta Mantri, M.D
• Koushik Mantripragada, MD
• Jasmaine Manu
• Manual PT & Sports Medicine
• Zara Manuelyan, M.D.
• Mariuxi Cherrie Manukyan, MD
• Sasicha Manupipatpong, MD

• Optometrist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.