NPIMap

Organization Active NPI

Eye Deal Vision Center, LLC.

  • Optometrist
  • Waldorf, MD
National Provider Identifier
1013223338
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE DEAL VISION CENTER, LLC.
Practice address
3005 Leonardtown Rd
Waldorf, MD 20601-3136
Phone
(301) 645-6550
NPI assigned
Aug 24, 2010
Organization subpart
Yes
Parent organization
DOCTORS ON SIGHT OPTOMETRISTS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Dr. Edward J. Schwartzberg, O.D.
Title
President
Phone
(301) 843-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3005 Leonardtown Rd
Waldorf, MD 20601-3136

Mailing address

3005 Leonardtown Rd
Waldorf, MD 20601-3136

National Provider Directory

National Provider Directory
Part of
Doctors on Sight Optometris

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3005 Leonardtown Rd
Waldorf, MD 20601
Phone (301) 645-6550

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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1013223338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 LEONARDTOWN RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 LEONARDTOWN RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013136",
            "telephone_number": "301-645-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DEAL VISION CENTER, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS ON SIGHT OPTOMETRISTS, INC.",
        "enumeration_date": "2010-08-24",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZBERG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-843-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.