NPIMap

Organization Active NPI

George Constantinopoulos OD and Associates. LLC

  • Optometrist
  • Elkridge, MD
National Provider Identifier
1033453790
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1802 Issued in MD
Legal business name
GEORGE CONSTANTINOPOULOS OD AND ASSOCIATES. LLC
Practice address
6675 Marie Curie Dr
Elkridge, MD 21075-6457
Phone
(410) 423-4061
NPI assigned
Nov 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Dr. George Constantinopoulos, O.D.
Title
Optometrist/Owner
Phone
(410) 423-4061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA1802 MD Primary

Addresses

Primary practice location

6675 Marie Curie Dr
Elkridge, MD 21075-6457

Mailing address

6675 Marie Curie Dr
Elkridge, MD 21075-6457
Phone (410) 423-4061

National Provider Directory

National Provider Directory

Locations

6675 Marie Curie Dr
Elkridge, MD 21075
Phone (410) 423-4052

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1033453790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 MARIE CURIE DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756457",
            "telephone_number": "410-423-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 MARIE CURIE DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756457",
            "telephone_number": "410-423-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE CONSTANTINOPOULOS OD AND ASSOCIATES. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "CONSTANTINOPOULOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "410-423-4061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.