Fred Jeffrey Sirotkin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

MD TA870 Issued in MD

Practice address

6350 Stevens Forest Rd
Suite #101
Columbia, MD 21046-3231

Phone

(410) 964-8516

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Pennsylvania College of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Eagle Eye Care, P.a.

  • Eyewear Supplier
  • Columbia, MD
  • NPI 1467593582
  Medicare reassignment NPD Authorized official
• University of Maryland Pediatric Associates, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1083933444
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1821109596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 STEVENS FOREST RD",
            "address_2": "SUITE #101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463231",
            "telephone_number": "410-964-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 STEVENS FOREST RD",
            "address_2": "SUITE #101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463231",
            "telephone_number": "410-964-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROTKIN",
        "first_name": "FRED",
        "middle_name": "JEFFREY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "MD TA870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Singleton
• Laura Victoria Singleton
• Anshu Prasad Sinha, MD
• Jair Sinisterra Jr.
• Tsega Erkyihun Siressa
• Elizabeth Sital
• Jigar Sitapara, M.D.
• Mark Vincent Sivieri, M.D.
• Diana Lampe Siwek, LCSW
• Juliann Elizabeth Siwicki, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.