Ann Marie Gallagher, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1309 Issued in MD

Practice address

8450 Baltimore National Pike Ste 155
Ellicott City, MD 21043-3909

Phone

(410) 465-6166

Fax

(410) 465-8898

NPI assigned

Aug 18, 2006

Last updated

Apr 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Illinois College of Optometry at Chicago, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Vision of Ellicott City, IncGroup PAC ID 4082925045, 3 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Vision of Ellicott City, Inc.

  • Optometrist
  • Ellicott City, MD
  • NPI 1952796187
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1871607549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 BALTIMORE NATIONAL PIKE STE 155",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433909",
            "telephone_number": "410-465-6166",
            "fax_number": "410-465-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 BALTIMORE NATIONAL PIKE STE 155",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433909",
            "telephone_number": "410-465-6166",
            "fax_number": "410-465-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 Baltimore National Pike",
            "address_2": "Ste 15",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "21042",
            "country_code": "US",
            "telephone_number": "410-465-6166",
            "fax_number": "410-465-8898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11248211",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Gallagher, MS, CCC-SLP
• Sarah Elizabeth Ganginis Schaeffer, RD,LDN
• Gangnam Style Acupuncture
• Cathy Xiang Gao, M.D.
• Anacito Antigua Gapoy, P.T.

• Optometrist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.