Maryland Vision Center, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0070611 Issued in MD

Legal business name

MARYLAND VISION CENTER, P.A.

Practice address

5205 Chairmans CT Ste 202
Frederick, MD 21703-2918

Phone

(240) 575-9580

NPI assigned

Oct 16, 2012

Organization subpart

No

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

Authorized official

Name

Sunil Thadani, MDNPI 1790951986

Title

Owner

Phone

(240) 575-9580

Specialties & licenses 1

Addresses

Other names 1

• Maryland Eye Center, P.A. Former legal business name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Maryland Vision Center, P.a.

  • Cornea and External Diseases Specialist Physician
  • Frederick, MD
  • NPI 1922836402

  O20121106000576

  Same enrollment

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunil Thadani, MD

  • Ophthalmology Physician
  • Frederick, MD
  • NPI 1790951986
  Medicare reassignment Care Compare group NPD Authorized official
• Brian Charles Chado, OD

  • Optometrist
  • Germantown, MD
  • NPI 1790347904
  Medicare reassignment Care Compare group NPD
• Elvis Arturo Salas Alvarez, PA-C

  • Medical Physician Assistant
  • Baltimore, MD
  • NPI 1396381315
  Medicare reassignment Care Compare group
• Lucy Ma, MD

  • Ophthalmology Physician
  • Mesa, AZ
  • NPI 1891257069

  MD

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1013260025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 CHAIRMANS CT STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032918",
            "telephone_number": "240-575-9580",
            "fax_number": "240-457-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 CHAIRMANS CT STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032918",
            "telephone_number": "240-575-9580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 W 7th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217018532",
            "country_code": "US",
            "telephone_number": "240-575-9580",
            "fax_number": "240-457-4939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYLAND VISION CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "THADANI",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-575-9580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0070611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Eye Center, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Maryland Sportscare & Rehab, LLC
• Maryland Sportscare & Rehab, LLC
• Maryland Surgical Care PC
• Maryland Treatment Centers Inc
• Maryland Treatment Centers, Inc.
• Maryland Vision Center, P.a.
• Maryland Vision Institute
• Maryland Vision Surgery Center LLC
• Maryland Vision Surgical Center, LLC
• Maryland Wellness and Psychiatry LLC

• Ophthalmology Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.

Verify at the official NPI Registry.