MEDICARE: JOHNS HOPKINS UNIVERSITY

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	152WV0400X	Vision Therapy Optometrist

General Provider Information

NPI Number	:	1457203952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNS HOPKINS UNIVERSITY

Provider Business Mailing Address
First Line	:	6201 GREENLEIGH AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21220-2004
Country	:	US
Telephone Number	:	410-933-6423
Fax Number	:

Provider Business Practice Location Address
First Line	:	11085 LITTLE PATUXENT PKWY STE 103
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-2914
Country	:	US
Telephone Number	:	410-955-5000
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR PROVIDER ENROLLMENT
Name	:	NICHOLAS GIARRATANO
Credential	:
Telephone Number	:	410-933-0000

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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