Organization
LONGMEADOW OPTICAL, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN R. GILL O.D. (OWNER)
(301) 662-8866
Entity
Organization
Contact information
Practice address
7420 HAYWARD RD STE 202, FREDERICK, MD 21702-2509
(301) 662-8866
(301) 293-6133
Mailing address
7420 HAYWARD RD STE 202, FREDERICK, MD 21702-2509
(301) 662-8866
(301) 293-6133
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TA0646
MD
152W00000X
Optometrist
TA1338
MD
332H00000X
Eyewear Supplier
Primary
10199942
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B012
BCBS FEP
—
01
—
DD3301
RAILROAD MEDICARE
MD
01
—
LR80LO
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/27/2007
Last updated
03/21/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us