Organization Active NPI

Norman Shedlo, P.a.

Doing business as Eyecare Center of Maryland

  • Optometrist
  • Hyattsville, MD
National Provider Identifier
1063601714
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1624 Issued in MD
Legal business name
NORMAN SHEDLO, P.A.
Doing business as
Eyecare Center of Maryland
Practice address
6525 Belcrest Rd
Suite 200
Hyattsville, MD 20782-2003
Phone
(301) 779-2424
NPI assigned
Oct 18, 2007
Last updated
Aug 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Norman Shedlo, O.D.NPI 1568436947
Title
President
Phone
(301) 779-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1624 MD Primary

Addresses

Primary practice location

6525 Belcrest Rd
Suite 200
Hyattsville, MD 20782-2003

Mailing address

6525 Belcrest Rd
Suite 200
Hyattsville, MD 20782-2003
Phone (301) 779-2424

Other names 1

  • Eyecare Center of Maryland Doing business as

National Provider Directory

National Provider Directory

Locations

6525 Belcrest Rd
Ste 200
Hyattsville, MD 20782
Phone (301) 779-2424

4701 Randolph Rd
Ste G2
Rockville, MD 20852
Phone (301) 348-8640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1063601714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 BELCREST RD",
            "address_2": "SUITE 200",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822003",
            "telephone_number": "301-779-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 BELCREST RD",
            "address_2": "SUITE 200",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822003",
            "telephone_number": "301-779-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN SHEDLO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "SHEDLO",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-779-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Center of Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.