Active NPI
Terry Rabinowitz
- Optician
- Chestertown, MD
National Provider Identifier
1073681235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 932 Washington Ave
Unit G
Chestertown, MD 21620-3324 - Phone
- (410) 778-9089
- Fax
- (410) 778-5617
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
932 Washington Ave
Unit G
Chestertown, MD 21620-3324
Mailing address
12804 Still Pond Rd
P.O. Box 105
Still Pond, MD 21667-0105
Phone (410) 348-5753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 530852-01 | Other | MD | CAREFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chestertown Optical Shoppe Inc | Optician | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optician
- Chestertown, MD
- NPI 1194893370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073681235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12804 STILL POND RD",
"address_2": "P.O. BOX 105",
"city": "STILL POND",
"state": "MD",
"postal_code": "216670105",
"telephone_number": "410-348-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 WASHINGTON AVE",
"address_2": "UNIT G",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216203324",
"telephone_number": "410-778-9089",
"fax_number": "410-778-5617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABINOWITZ",
"first_name": "TERRY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "530852-01",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chestertown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.