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Professional Vision of Ellicott City, Inc.

NPI 1952796187ActiveOrganization· Optometrist· Ellicott City, MD

Optometrist in Ellicott City, Maryland, registered in NPPES in April 2015. The authorized official on file is Ann M. Gallagher, OD, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1952796187
StatusActive
Entity typeOrganization
NPI issuedApr 3, 2015
Last updated in NPPESMay 9, 2022
Certified by providerMay 9, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X—MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MD)

Medicare sources and data years

Other Optometrist providers in Ellicott City

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