MEDICARE: MLBOD, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TA1552	MD

General Provider Information

NPI Number	:	1356736789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MLBOD, LLC

Provider Business Mailing Address
First Line	:	727 FREDERICK RD
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4503
Country	:	US
Telephone Number	:	410-744-1111
Fax Number	:	410-744-1200

Provider Business Practice Location Address
First Line	:	727 FREDERICK RD
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4503
Country	:	US
Telephone Number	:	410-744-1111
Fax Number	:	410-744-1200

Authorized Official
Title or Position	:	DOCTOR
Name	:	MEREDITH LYNN BOMSE
Credential	:	OD
Telephone Number	:	410-456-1001

Provider Enumeration Date	:	04/02/2015
Last Update Date	:	04/02/2015

Similar Medicare Providers

1174526792 — AMERICAN MEDICAL EQUIPMENT INC
Practice Location Address:

733 FREDERICK RD
CATONSVILLE, MD
21228-4503

Practice Phone: 410-719-1222
Practice Fax: 410-719-6676

1144411034 — CATONSVILLE OPTICAL
Practice Location Address:

727 FREDERICK RD
CATONSVILLE, MD
21228-4503

Practice Phone: 410-744-1111
Practice Fax:

1720376791 — AME PHARMACY
Practice Location Address:

731 FREDERICK RD
CATONSVILLE, MD
21228-4503

Practice Phone: 410-719-2020
Practice Fax: 410-719-6915

1699325787 — AME PHARMACY IMMUNIZATION
Practice Location Address:

731 FREDERICK RD
CATONSVILLE, MD
21228-4503

Practice Phone: 410-719-2020
Practice Fax: 410-719-6915

1750960464 — IRINA GOLD HERBST PHARMD
Practice Location Address:

731 FREDERICK RD
CATONSVILLE, MD
21228-4503

Practice Phone: 410-719-2020
Practice Fax:

1053001321 — AME CLINICAL SERVICES LLC
Practice Location Address:

731 FREDERICK RD STE B
CATONSVILLE, MD
21228-4503

Practice Phone: 410-719-2020
Practice Fax:

Directions to “MLBOD, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.