Active NPI
Perry J Lucente, OD
- Optometrist
- Davidsonville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1029
- Practice address
- 2510 Howard Grove Rd
Davidsonville, MD 21035 - Phone
- (410) 956-2594
- Fax
- (410) 956-2594
- NPI assigned
- Jan 3, 2007
- Last updated
- Mar 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1029 | MD | Primary |
| Optometrist | 152W00000X | 0601001619 | VA |
Addresses
Primary practice location
2510 Howard Grove Rd
Davidsonville, MD 21035
Mailing address
2510 Howard Grove Rd
Davidsonville, MD 21035
Phone (410) 956-2594
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 656342 | Other | DC | MEDICARE |
| 656342 | Other | MD | MEDICARE |
| 650898700 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10335 Southern Maryland Blvd
Dunkirk, MD 20754-3051
Phone (443) 964-6730
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.71 of 100
- Quality
- 69.42
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0601001619 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prince Frederick Optometry, LLC | Optometrist | Current | Accepting new patients |
| Eyes on You, LLC | Optometrist | Current | Accepting new patients |
Locations
10335 Southern Maryland Blvd
Dunkirk, MD 20754
10335 Southern Maryland Blvd
Ste 1
Dunkirk, MD 20754
Phone (443) 964-6730
10335 Southern Maryland Blvd
Ste 102
Dunkirk, MD 20754
Phone (410) 533-7763
162 W Dares Beach Rd
Prnc Frederck, MD 20678
Phone (410) 474-1363
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268524800000",
"number": "1003973538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 HOWARD GROVE RD",
"city": "DAVIDSONVILLE",
"state": "MD",
"postal_code": "21035",
"telephone_number": "410-956-2594",
"fax_number": "410-956-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 HOWARD GROVE RD",
"city": "DAVIDSONVILLE",
"state": "MD",
"postal_code": "21035",
"telephone_number": "410-956-2594",
"fax_number": "410-956-2594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCENTE",
"first_name": "PERRY",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2010-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1029",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0601001619",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "656342",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "656342",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "650898700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davidsonville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.