Organization Active NPI

Channing Vision Eye Care Inc

Doing business as Dr Eugene S Channing Practice of Optometry

  • Optometrist
  • Frederick, MD
National Provider Identifier
1003024795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0967 Issued in MD
Legal business name
CHANNING VISION EYE CARE INC
Doing business as
Dr Eugene S Channing Practice of Optometry
Practice address
166 Baughmans Lane
Frederick, MD 21702-4083
Phone
(301) 663-1177
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eugene Stephan Channing, ODNPI 1972825388
Title
President
Phone
(301) 663-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X TA0967 MD Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OP593 DC
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OEG001617 PA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 0618000256 VA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 002831 NY
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X NJ

Addresses

Primary practice location

166 Baughmans Lane
Frederick, MD 21702-4083

Mailing address

166 Baughmans Lane
Frederick, MD 21702-4083
Phone (301) 663-1177

Other identifiers 1

IdentifierTypeStateIssuer
KANGCHOtherCAREFIRST BC BS

Other names 1

  • Dr Eugene S Channing Practice of Optometry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003024795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BAUGHMANS LANE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024083",
            "telephone_number": "301-663-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BAUGHMANS LANE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024083",
            "telephone_number": "301-663-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNING VISION EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANNING",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "STEPHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-663-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0967",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP593",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001617",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000256",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "002831",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "KANGCH",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Eugene S Channing Practice of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.