Individual provider Active NPI

Cristina Ferrari Rouiller, O.D.

  • Optometrist
  • Columbia, MD
National Provider Identifier
1811924855
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1412 Issued in MD
Practice address
8860 Columbia 100 Parkway
Suite 101
Columbia, MD 21045
Phone
(410) 997-9900
Fax
(410) 997-4498
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1412 MD Primary

Addresses

Primary practice location

8860 Columbia 100 Parkway
Suite 101
Columbia, MD 21045

Mailing address

8860 Columbia 100 Parkway
Suite 101
Columbia, MD 21045
Phone (410) 997-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040205000772 MD Practitioner - Optometry 6204729940 Reassigns benefits to 1 organization
I20090716000133 DC Practitioner - Optometry 6204729940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Eye Center PAGroup PAC ID 4789570722, 6 clinicians

Practice addresses (Care Compare)

3402 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-2750

8860 Columbia 100 Pkwy
Columbia, MD 21045-2286
Phone (410) 997-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Eye Center PA CurrentSince Oct 1, 2003 Accepting new patients

Locations

8860 Columbia 100 Pkwy
Ste 101
Columbia, MD 21045
Phone (410) 740-7885

3402 Olandwood Ct
Olney, MD 20832
Phone (301) 260-0966

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811924855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PARKWAY",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-997-9900",
            "fax_number": "410-997-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PARKWAY",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-997-9900",
            "fax_number": "410-997-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUILLER",
        "first_name": "CRISTINA",
        "middle_name": "FERRARI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.