Active NPI
Thomas J. Meakem, D.D.S.
- Ocularist
- Upper Marlboro, MD
National Provider Identifier
1013174549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- License
- 3853
- Practice address
- 9450 Pennsylvania Ave
Ste. 15
Upper Marlboro, MD 20772-3665 - Phone
- (301) 599-6300
- NPI assigned
- May 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | 3853 | MD | Primary |
Addresses
Primary practice location
9450 Pennsylvania Ave
Ste. 15
Upper Marlboro, MD 20772-3665
Mailing address
9450 Pennsylvania Ave
Ste. 15
Upper Marlboro, MD 20772-3665
Phone (301) 599-6300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023053600 | Medicaid | DC | |
| 30877 | Other | MD | KAISER PERMENENTE |
| 468228900 | Medicaid | MD | |
| 406540466 | Other | DC | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3853 | MD | MD | Ocularist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Restoration Clinic Inc. | Ocularist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1013174549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 PENNSYLVANIA AVE",
"address_2": "STE. 15",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723665",
"telephone_number": "301-599-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9450 PENNSYLVANIA AVE",
"address_2": "STE. 15",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723665",
"telephone_number": "301-599-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEAKEM",
"first_name": "THOMAS",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": "MD",
"license": "3853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023053600",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMENENTE",
"identifier": "30877",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "468228900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "406540466",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.