NPIMap

Organization Active NPI

Eye Tel Imaging LLC

  • Ophthalmology Physician
  • Columbia, MD
National Provider Identifier
1003875238
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE TEL IMAGING LLC
Practice address
9130 Guilford Road
Columbia, MD 21046-2581
Phone
(301) 483-6167
Fax
(301) 483-6168
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Mr. Gary L Gregory
Title
President & Ceo
Phone
(301) 483-6167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

9130 Guilford Road
Columbia, MD 21046-2581

Mailing address

9130 Guilford Road
Columbia, MD 21046-2581
Phone (301) 483-6167

National Provider Directory

National Provider Directory

Locations

9130 Guilford Rd
Columbia, MD 21046
Phone (301) 483-6167

Practitioners & affiliated clinicians

Practitioners 4

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": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1003875238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 GUILFORD ROAD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462581",
            "telephone_number": "301-483-6167",
            "fax_number": "301-483-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 GUILFORD ROAD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462581",
            "telephone_number": "301-483-6167",
            "fax_number": "301-483-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE TEL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "301-483-6167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.