Organization Active NPI

Karen S Beling Optometry LLC

  • Optometrist
  • Edgewater, MD
National Provider Identifier
1073700746
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1536 Issued in MD
Legal business name
KAREN S BELING OPTOMETRY LLC
Practice address
2979 Solomons Island Rd
Edgewater, MD 21037-1414
Phone
(410) 956-2828
Fax
(410) 956-2853
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Mrs. Jeannie Allen
Title
Insurance/Billing
Phone
(410) 956-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA1536 MD Primary

Addresses

Primary practice location

2979 Solomons Island Rd
Edgewater, MD 21037-1414

Mailing address

2979 Solomons Island Rd
Edgewater, MD 21037-1414
Phone (410) 956-2828

Other identifiers 6

IdentifierTypeStateIssuer
225500600MedicaidMD
656LOtherMDMEDICARE PIN
64808002OtherMDBLUECROSS CAREFIRST
410047462OtherRAILROAD MEDICARE
8832 0001OtherDCBLUE CROSS CAREFIRST
24012OtherMDMAMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080505000121 MD Part B Supplier - Clinic/Group Practice 1951480862 Receives reassigned benefits from 2 practitioners
Practice locations: Edgewater, MD
O20100930099640 MD DME Supplier - Physician - Optometrist 1951480862 Practice locations: Edgewater, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
South River Eye Care2979 Solomons Island Rd, Edgewater, MD 21037-1414(410) 956-2828 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since May 5, 2008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1073700746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 SOLOMONS ISLAND RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371414",
            "telephone_number": "410-956-2828",
            "fax_number": "410-956-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 SOLOMONS ISLAND RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371414",
            "telephone_number": "410-956-2828",
            "fax_number": "410-956-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN S BELING OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "INSURANCE/BILLING",
        "authorized_official_telephone_number": "410-956-2828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225500600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "656L",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS CAREFIRST",
            "identifier": "64808002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410047462",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CAREFIRST",
            "identifier": "8832 0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "24012",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.