Andrew Michael Servinsky, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1897 Issued in MD

Practice address

1410 Forest Dr
Suite 1
Annapolis, MD 21403-1472

Phone

(410) 295-3010

Fax

(410) 295-3015

NPI assigned

Aug 26, 2005

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

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

Pennsylvania College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joanne Brilliant O.D., P.a.Group PAC ID 7911976725, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Joanne Brilliant O.D., P.a.

  • Optometrist
  • Annapolis, MD
  • NPI 1144403098
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1962495705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 FOREST DR",
            "address_2": "SUITE 1",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031472",
            "telephone_number": "410-295-3010",
            "fax_number": "410-295-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FOREST DR",
            "address_2": "SUITE 1",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031472",
            "telephone_number": "410-295-3010",
            "fax_number": "410-295-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVINSKY",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004677900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jo Ann Serafini, CRNP
• Serenity Seas Therapy, LLC
• Serenity Sistas Inc
• Serenity Therapeutic Counseling Services
• Neha Priyavadan Serrano, MD
• Servitium Med MD, LLC
• Margaret Kathryn Seuss, CRNP
• Emily Marie Sewell, D.D.S.
• Sfkelloggpsyd LLC
• Paul Shabaz, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.