Suzanne Carducci, OD
Individual provider Active NPI Optometrist · Germantown, MD
NPI 1831563733 · NPPES record last updated Jan 29, 2018
Key facts
- NPI
- 1831563733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TA0983 (MD)
- Practice address
- 20940 Frederick Rd
Germantown, MD 20876-4103 - Phone
- (240) 361-9600
- Fax
- (240) 361-9605
- NPI assigned
- Nov 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Myeyedr Optometry of Maryland LLC
Practice addresses (Care Compare)
10050 Balt Natl PK
F100
Ellicott City, MD 21042-3684
Phone (410) 461-2020
1311 Londontown Blvd
Suite 100
Eldersburg, MD 21784-7074
Phone (410) 795-5588
19814 Century Blvd
Germantown, MD 20874-1198
Phone (301) 540-1200
2936 Festival Way
Suite 409a
Waldorf, MD 20601-2957
Phone (301) 710-6919
6306 /2 York Rd
Baltimore, MD 21212-2635
Phone (443) 863-5206
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160314000973 | DC | Practitioner - Optometry | 1153627476 | Reassigns benefits to 1 organization |
| I20221230000904 | MD | Practitioner - Optometry | 1153627476 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA0983 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current |
Accepting new patients |
Locations
6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206
1311 Londontown Blvd
Ste 100
Eldersburg, MD 21784
Phone (410) 795-5588
80 Market St
Gaithersburg, MD 20878
Phone (301) 990-1122
19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200
20946 Frederick Rd
Unit A
Germantown, MD 20876
Phone (240) 361-9600
7550 Teague Rd
Ste 114
Hanover, MD 21076
Phone (410) 799-8067
18111 Town Center Dr
Olney, MD 20832
Phone (301) 570-1600
2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA0983 | MD | Yes |
Addresses
Primary practice location
20940 Frederick Rd
Germantown, MD 20876-4103
Mailing address
1950 Old Gallows Rd
Suite 520
Vienna, VA 22182-3990
Phone (703) 847-8899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TA983 | Other | MD | MD LICENSE |
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.