Organization Active NPI

Colonial Opticians Inc

  • Durable Medical Equipment & Medical Supplies
  • Bethesda, MD
National Provider Identifier
1073688461
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
15214621 Issued in MD
Legal business name
COLONIAL OPTICIANS INC
Practice address
4942 St Elmo Ave
Bethesda, MD 20814-6008
Phone
(301) 657-3332
Fax
(301) 657-4092
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Debra Williams Allncett
Title
President Optician
Phone
(301) 881-7422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 15214621 MD Primary

Addresses

Primary practice location

4942 St Elmo Ave
Bethesda, MD 20814-6008

Mailing address

4942 St Elmo Ave
Bethesda, MD 20814-6008
Phone (301) 657-3332

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1073688461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 ST ELMO AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146008",
            "telephone_number": "301-657-3332",
            "fax_number": "301-657-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4942 ST ELMO AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146008",
            "telephone_number": "301-657-3332",
            "fax_number": "301-657-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "ALLNCETT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "PRESIDENT OPTICIAN",
        "authorized_official_telephone_number": "301-881-7422"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "15214621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.