Individual provider Active NPI

Steven Zeidman, OD

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1962589291
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0672 Issued in MD
Practice address
6306 1/2 York Rd
Baltimore, MD 21212-2635
Phone
(443) 863-5206
Fax
(443) 863-5207
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0672 MD Primary

Addresses

Primary practice location

6306 1/2 York Rd
Baltimore, MD 21212-2635

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
983688800MedicaidMD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081206000120 MD Practitioner - Optometry 5092613364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Maryland LLC 121 clinicians

Practice addresses (Care Compare)

2657 N Salisbury Blvd
Suite 104
Salisbury, MD 21801-2184
Phone (410) 742-6148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA0672MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Mar 9, 2020 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Mar 9, 2020 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
East Coast Optometric, Inc. Optometrist PastSince Oct 1, 2004 Accepting new patients
Wink Vision Optometrist PastSince Oct 23, 2019 Accepting new patients
Accurate Optical Co of Cambridge Inc Optometrist PastSince Aug 5, 1993 Accepting new patients
Accurate Optical Co of Easton Inc Optometrist PastSince Aug 15, 2009 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients
East Coast Optometric, Inc Optometrist Past Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Past Accepting new patients

Locations

2321 Forest Dr
Annapolis, MD 21401
Phone (410) 266-3369

1905 Towne Centre Blvd
Ste 110
Annapolis, MD 21401
Phone (410) 268-8200

2321 Forest Dr
Ste E
Annapolis, MD 21401
Phone (410) 266-3369

8818 Waltham Woods Rd
Baltimore, MD 21234
Phone (410) 882-2020

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

5 Bel Air South Pkwy
Ste 1317
Bel Air, MD 21015
Phone (410) 569-8113

15781 Old Columbia Pike
Burtonsville, MD 20866
Phone (240) 817-3851

22610 Newcut Rd
Ste E4A
Clarksburg, MD 20871
Phone (301) 874-5777

6455 Dobbin Rd
Ste 47
Columbia, MD 21045
Phone (443) 542-5999

1700 Kingfisher Dr
Ste 9
Frederick, MD 21701
Phone (301) 874-5777

7550 Teague Rd
Ste 114
Hanover, MD 21076
Phone (410) 799-8067

118 Shawan Rd
Ste S
Hunt Valley, MD 21030
Phone (410) 584-8224

413 S Camp Meade Rd
Linthicum Heights, MD 21090
Phone (410) 859-3111

1809 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 484-6348

2657 N Salisbury Blvd
Ste 104
Salisbury, MD 21801
Phone (410) 742-6148

3540 Sugarloaf Pkwy
Ste D04
Urbana, MD 21704
Phone (301) 871-5777

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

625 Baltimore Blvd
Ste K
Westminster, MD 21157
Phone (410) 848-5422

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1962589291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6306 1/2 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122635",
            "telephone_number": "443-863-5206",
            "fax_number": "443-863-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDMAN",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "983688800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.