MEDICARE: DR. ANNA ZEMELSHTERN OD

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	TA1943	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346266376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA ZEMELSHTERN OD

Provider Business Mailing Address
First Line	:	6412 REISTERSTOWN ROAD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-2308
Country	:	US
Telephone Number	:	410-764-9360
Fax Number	:	410-764-3229

Provider Business Practice Location Address
First Line	:	6412 REISTERSTOWN ROAD
Second Line	:	CHARM CITY OPTICAL
City	:	BALTIMORE
State	:	MD
Zip	:	21215-2308
Country	:	US
Telephone Number	:	410-764-9360
Fax Number	:	410-764-3229

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/08/2007

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