Gerald M Resnick, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TAO618 Issued in MD

Practice address

117 Landing Lane
Elkten, MD 21921-0464

Phone

(410) 398-7077

Fax

(410) 392-9544

NPI assigned

Apr 19, 2006

Last updated

Jul 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Resnick & Manspeaker Oa PA

  • Optometrist
  • Elkton, MD
  • NPI 1285698233
  Authorized official Same address or phone
• Dependable Eye Care Inc

  • Optometrist
  • Chestertown, MD
  • NPI 1720004203
  NPD (past)
• Try State Eye LLC

  • Optometrist
  • Elkton, MD
  • NPI 1043583156
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1033174305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LANDING LANE",
            "city": "ELKTEN",
            "state": "MD",
            "postal_code": "219210464",
            "telephone_number": "410-398-7077",
            "fax_number": "410-392-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LANDING LANE",
            "city": "ELKTEN",
            "state": "MD",
            "postal_code": "219210464",
            "telephone_number": "410-398-7077",
            "fax_number": "410-392-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "GERALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TAO618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900641",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.