Michael Andreaggi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2365 Issued in MD

Practice address

2400 Boston St
Baltimore, MD 21224-4723

Phone

(410) 732-0915

NPI assigned

Jul 15, 2013

Sex

Male

Sole proprietor

No

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

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.

• Baltimore Optical Inc

  • Optician
  • Baltimore, MD
  • NPI 1154400679

  MD

  Medicare reassignment NPD
• Baltimore Optical Inc

  • Optometrist
  • Baltimore, MD
  • NPI 1578117800
  NPD
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1851732283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BOSTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244723",
            "telephone_number": "410-732-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BOSTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244723",
            "telephone_number": "410-732-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREAGGI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle C Andoll, RPH
• Nikitta Ramonda Andoll, RN
• Adriana Andrade, M.D.
• Nicholas S Andrade, MD
• Lydia Andrawis, MD
• Katrin Ingrid Andreasson, M.D.
• Nicole Whiston Andrejow, MS, OTR/L
• Joseph Michael Andreola, DO
• Sonia Marie Andreou, MD
• Andrew B. Bertell, LCSW-C

• All providers in Baltimore, MD
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.