Provider Demographics
NPI:1174597140
Name:KAPLAN, GEOFFREY R (MD)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:R
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE # 300
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3514
Mailing Address - Country:US
Mailing Address - Phone:301-474-4679
Mailing Address - Fax:301-474-7182
Practice Address - Street 1:7501 GREENWAY CENTER DR
Practice Address - Street 2:SUITE # 300
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3514
Practice Address - Country:US
Practice Address - Phone:301-441-4577
Practice Address - Fax:301-220-0396
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0036566207W00000X, 207WX0107X
VA0101053725207W00000X, 207WX0107X
DCMD17956207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006306870Medicaid
DC024857600Medicaid
VA006307051Medicaid
MD285591700Medicaid
VA006307051Medicaid
DC597635R87Medicare PIN