Active NPI
Julie Fitzgerald
- Optometrist
- Glen Burnie, MD
National Provider Identifier
1013139815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1634
- Practice address
- 806 Landmark Dr
Ste 114
Glen Burnie, MD 21061-4966 - Phone
- (410) 590-9260
- Fax
- (410) 590-9266
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1634 | MD | Primary |
Addresses
Primary practice location
806 Landmark Dr
Ste 114
Glen Burnie, MD 21061-4966
Mailing address
806 Landmark Dr
Ste 114
Glen Burnie, MD 21061-4966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul a Tarantino, M.D.,P.a. | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| Capital Eye Physicians & Surgeons LLC | Past | Accepting new patients | |
| Capital Eye Physicians & Surgeons, LLC | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
4000 Mitchellville Rd
Ste B128
Bowie, MD 20716
Phone (301) 464-1192
806 Landmark Dr
Ste 114
Glen Burnie, MD 21061
Phone (410) 590-9260
8630 Fenton St
Ste 7
Silver Spring, MD 20910
Phone (301) 565-0222
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Washington, DC
- NPI 1700154226
-
- Specialist
- Glen Burnie, MD
- NPI 1821005059
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
-
- Ophthalmology Physician
- Bowie, MD
- NPI 1245247840
-
- Ophthalmology Physician
- Bowie, MD
- NPI 1154451219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1013139815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 LANDMARK DR",
"address_2": "STE 114",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 LANDMARK DR",
"address_2": "STE 114",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614966",
"telephone_number": "410-590-9260",
"fax_number": "410-590-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.