Active NPI
Shore Regional Eye Care, LLC
- Ophthalmology Physician
- Berlin, MD
National Provider Identifier
1013721562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SHORE REGIONAL EYE CARE, LLC
- Practice address
- 9956 N Main St Unit 4
Berlin, MD 21811-1077 - Phone
- (609) 828-2651
- Fax
- (443) 228-6040
- NPI assigned
- Feb 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lisa Marie Clifford, MBA, DPT
- Title
- Administrator
- Phone
- (443) 242-4070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
9956 N Main St Unit 4
Berlin, MD 21811-1077
Mailing address
9956 N Main St Unit 4
Berlin, MD 21811-1077
Phone (443) 242-4070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9954 N Main St
Unit 2
Berlin, MD 21811
Phone (410) 973-2731
Interoperability endpoints
- rclifford@rcmd.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Berlin, MD
- NPI 1578963310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1013721562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9956 N MAIN ST UNIT 4",
"city": "BERLIN",
"state": "MD",
"postal_code": "218111077",
"telephone_number": "443-242-4070",
"fax_number": "443-200-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9956 N MAIN ST UNIT 4",
"city": "BERLIN",
"state": "MD",
"postal_code": "218111077",
"telephone_number": "609-828-2651",
"fax_number": "443-228-6040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORE REGIONAL EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-05",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "CLIFFORD",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "443-242-4070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MBA, DPT"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.