Organization Active NPI

Accurate Optical of Ocean Pines Inc

  • Optometrist
  • Berlin, MD
National Provider Identifier
1003111014
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ACCURATE OPTICAL OF OCEAN PINES INC
Practice address
11031 Nicholas LN Ste 2
Ocean Pines Village Square
Berlin, MD 21811-3296
Phone
(410) 208-4604
Fax
(410) 641-5854
NPI assigned
Jan 22, 2011
Last updated
Oct 27, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ACCURATE OPTICAL CO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Mr. Stephen L Franklin
Title
Ceo
Phone
(410) 749-1545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

11031 Nicholas LN Ste 2
Ocean Pines Village Square
Berlin, MD 21811-3296

Mailing address

11031 Nicholas LN Ste 2
Ocean Pines Village Square
Berlin, MD 21811-3296
Phone (410) 208-4604

Other identifiers 2

IdentifierTypeStateIssuer
219587OtherMDMEDICARE PTAN
227706900MedicaidMD

National Provider Directory

National Provider Directory
Part of
Accurate Optical

Locations

11031 Nicholas Ln
Ste 2
Ocean Pnes, MD 21811
Phone (410) 208-4604

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1295654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1003111014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11031 NICHOLAS LN STE 2",
            "address_2": "OCEAN PINES VILLAGE SQUARE",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113296",
            "telephone_number": "410-208-4604",
            "fax_number": "410-641-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11031 NICHOLAS LN STE 2",
            "address_2": "OCEAN PINES VILLAGE SQUARE",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113296",
            "telephone_number": "410-208-4604",
            "fax_number": "410-641-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCURATE OPTICAL OF OCEAN PINES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCURATE OPTICAL CO INC",
        "enumeration_date": "2011-01-22",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-749-1545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "219587",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227706900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.