Individual provider Active NPI

Lariesa Miller-Schwab, OD

  • Optometrist
  • Columbia, MD
National Provider Identifier
1790346104
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2690 Issued in MD
Practice address
10300 Little Patuxent Pkwy Ste 1625
Columbia, MD 21044-7003
Phone
(410) 730-0007
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003206 VA
Optometrist 152W00000X TA2690 MD Primary
Optometrist 152W00000X OPT-OPT-LIC-4605 MT

Addresses

Primary practice location

10300 Little Patuxent Pkwy Ste 1625
Columbia, MD 21044-7003

Mailing address

10300 Little Patuxent Pkwy Ste 1625
Columbia, MD 21044-7003
Phone (410) 730-0007

Other names 1

  • Lariesa Nellie Schwab Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA, CT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210505000025 MD Practitioner - Optometry 5294144259 Reassigns benefits to 2 organizations
I20240729002774 DC Practitioner - Optometry 5294144259 Reassigns benefits to 2 organizations
I20240730002704 VA Practitioner - Optometry 5294144259 Reassigns benefits to 1 organization
I20241119000217 CT Practitioner - Optometry 5294144259 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Practice addresses (Care Compare)

12916 Conamar Dr
Suite 104
Hagerstown, MD 21742-2760
Phone (301) 733-4944

2936 Festival Way
Suite 409a
Waldorf, MD 20601-2957
Phone (301) 710-6919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2690MDMDOptometrist
OPT-OPT-LIC-4605MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 28, 2026 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Nov 12, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jan 28, 2026 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 16, 2024 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Nov 12, 2024 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 16, 2024 Accepting new patients
Professional Vision of Ellicott City, Inc. Optometrist CurrentSince May 1, 2021 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 16, 2024 Accepting new patients
Raffaele Inc CurrentSince Jan 16, 2025 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 16, 2024 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Past Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients
Waterford Optometric PC Optometrist Past Accepting new patients

Locations (25 of 28)

145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686

18 W Avon Rd
Avon, CT 06001
Phone (860) 673-1667

65 North St
Danbury, CT 06810
Phone (203) 790-9030

2165 Dixwell Ave
Hamden, CT 06514
Phone (203) 248-2727

2100 Dixwell Ave
Hamden, CT 06514
Phone (203) 230-8019

747 Boston Post Rd
Madison, CT 06443
Phone (203) 245-1492

174 Danbury Rd
New Milford, CT 06776
Phone (860) 354-5537

54 Park Lane Rd
New Milford, CT 06776
Phone (860) 354-0130

185 Boston Post Rd
Ste 13
Orange, CT 06477
Phone (203) 795-5000

2162 Silas Deane Hwy
Rocky Hill, CT 06067
Phone (860) 513-1431

811 E Main St
Torrington, CT 06790
Phone (860) 482-2992

140 Willow St
Ste 1
Winsted, CT 06098
Phone (860) 379-7514

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210

8450 Baltimore National Pike
Ste 155
Ellicott City, MD 21043
Phone (410) 465-6166

9150 Baltimore National Pike
Ste 15
Ellicott City, MD 21042
Phone (410) 465-6166

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

46300 Lexington Village Way
Ste 105
Lexington Park, MD 20653
Phone (301) 862-2436

10101 Colesville Rd
Silver Spring, MD 20901
Phone (301) 466-8439

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

869 John Marshall Hwy
#C
Front Royal, VA 22630
Phone (540) 635-3223

129 E Ferrell St
South Hill, VA 23970
Phone (434) 447-3220

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1790346104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 LITTLE PATUXENT PKWY STE 1625",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210447003",
            "telephone_number": "410-730-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 LITTLE PATUXENT PKWY STE 1625",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210447003",
            "telephone_number": "410-730-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-SCHWAB",
        "first_name": "LARIESA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003206",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2690",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-4605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARIESA",
            "last_name": "SCHWAB",
            "middle_name": "NELLIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.