Provider Demographics
NPI:1790787133
Name:STEVEN R ALLGAIER OD PA
Entity Type:Organization
Organization Name:STEVEN R ALLGAIER OD PA
Other - Org Name:WALKERSVILLE EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:ALLGAIER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:301-898-3000
Mailing Address - Street 1:8415 WOODSBORO PIKE
Mailing Address - Street 2:A-C
Mailing Address - City:WALKERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21793-8305
Mailing Address - Country:US
Mailing Address - Phone:301-898-3000
Mailing Address - Fax:301-845-4324
Practice Address - Street 1:8415 WOODSBORO PIKE
Practice Address - Street 2:A-C
Practice Address - City:WALKERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21793-8305
Practice Address - Country:US
Practice Address - Phone:301-898-3000
Practice Address - Fax:301-845-4324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-15
Last Update Date:2015-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1725152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD287198000Medicaid
MD0312100001Medicare NSC
MD287198000Medicaid