Active NPI
Milton Gertner, O.D.
- Corneal and Contact Management Optometrist
- Frederick, MD
National Provider Identifier
1992801591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- TA970
- Practice address
- 7400 Guilford Dr
Frederick, MD 21704-5100 - Phone
- (301) 631-2274
- Fax
- (301) 682-5437
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | TA970 | MD | Primary |
Addresses
Primary practice location
7400 Guilford Dr
Frederick, MD 21704-5100
Mailing address
7400 Guilford Dr
Frederick, MD 21704-5100
Phone (301) 631-2274
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110131000927 | MD | Practitioner - Optometry | 1850570276 | Practice locations: Frederick, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA970 | MD | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1992801591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 GUILFORD DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217045100",
"telephone_number": "301-631-2274",
"fax_number": "301-682-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 GUILFORD DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217045100",
"telephone_number": "301-631-2274",
"fax_number": "301-682-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERTNER",
"first_name": "MILTON",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MD",
"license": "TA970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.