Alisa Thavikulwat
Alisa Thavikulwat is an Ophthalmology in Glenn Dale, Maryland. Graduated from University of Rochester School of Medicine and Dentistry in 2015, 11 years ago. Practices with Visionmd, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 11
- Trained at
- University of Rochester School of Medicine and Dentistry
- Licensed in
- MD
- In the registry since
- 2015
Practice location Address checks out
12150 Annapolis Rd Ste 111Glenn Dale, MD 20769-9183
Phone: (301) 779-0844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ophthalmology Physician (primary) | Taxonomy 207W00000X · Licence D0087217 (MD) |
|---|
Record details
| NPI number | 1265827745 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 1, 2015 |
| Last updated in NPPES | September 24, 2020 |
| Certification date | September 24, 2020 |
Medicare enrollment
| Medicare specialty | OPHTHALMOLOGY |
|---|---|
| Medical school | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduated | 2015 (11 years in practice) |
| Group practice | Visionmd, Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Glenn Dale
-
Advanced Eye Care Medical Center
12200 Annapolis Rd Ste 116, Glenn Dale, MD 20769-9182 · (301) 805-4664
-
Advanced Eye Care Medical Center, PA
12200 Annapolis Rd Ste 116, Glenn Dale, MD 20769-9182 · (301) 805-4664
-
Metropolitan Pediatric Ophthalmology LLC
12200 Annapolis Rd Ste 116, Glenn Dale, MD 20769-9182 · (301) 464-7935