MEDICARE: DR. STEVEN RICHARD ALLGAIER O.D.

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	TA1725	MD

General Provider Information

NPI Number	:	1326040734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN RICHARD ALLGAIER O.D.

Provider Business Mailing Address
First Line	:	8415 WOODSBORO PIKE
Second Line	:	A-C
City	:	WALKERSVILLE
State	:	MD
Zip	:	21793-8305
Country	:	US
Telephone Number	:	301-898-3000
Fax Number	:	301-845-4324

Provider Business Practice Location Address
First Line	:	8415 WOODSBORO PIKE
Second Line	:	A-C
City	:	WALKERSVILLE
State	:	MD
Zip	:	21793-8305
Country	:	US
Telephone Number	:	301-898-3000
Fax Number	:	301-845-4324

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	01/10/2008

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