NPIMap

Organization Active NPI

Eye Care Associates of MD, LLC

  • Optometrist
  • Glyndon, MD
National Provider Identifier
1073339933
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE ASSOCIATES OF MD, LLC
Practice address
4830 Butler Rd
Glyndon, MD 21071-4209
Phone
(410) 486-1010
Fax
(443) 940-1214
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Jaime Brown
Title
Billing Manager
Phone
(443) 450-6037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4830 Butler Rd
Glyndon, MD 21071-4209

Mailing address

PO Box 32794
Baltimore, MD 21282-2794
Phone (410) 486-1010

National Provider Directory

National Provider Directory
Tax ID family
Eye Care Assoc of MD LLC24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1073339933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32794",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212822794",
            "telephone_number": "410-486-1010",
            "fax_number": "443-940-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 BUTLER RD",
            "city": "GLYNDON",
            "state": "MD",
            "postal_code": "210714209",
            "telephone_number": "410-486-1010",
            "fax_number": "443-940-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "443-450-6037"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glyndon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.