Active NPI
Eye RX PLLC
- Optometrist
- Chevy Chase, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2244
- Legal business name
- EYE RX PLLC
- Practice address
- 4600 N Park Ave
Plaza North
Chevy Chase, MD 20815-4518 - Phone
- (301) 841-6776
- Fax
- (301) 215-4144
- NPI assigned
- Jul 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin M. Teller, OD
- Title
- Owner
- Phone
- (301) 841-6776
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA2244 | MD | Primary |
Addresses
Primary practice location
4600 N Park Ave
Plaza North
Chevy Chase, MD 20815-4518
Mailing address
4600 N Park Ave
Plaza North
Chevy Chase, MD 20815-4518
Phone (301) 841-6776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1629 K St NW
Ste 502
Washington, DC 20006
Phone (202) 659-2010
4600 N Park Ave
Ste Plzs
North Chevy Chase, MD 20815
Phone (301) 841-6776
Practitioners & affiliated clinicians
Practitioners 2
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": "1404172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460073600000",
"number": "1073928800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 N PARK AVE",
"address_2": "PLAZA NORTH",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154518",
"telephone_number": "301-841-6776",
"fax_number": "301-215-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 N PARK AVE",
"address_2": "PLAZA NORTH",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154518",
"telephone_number": "301-841-6776",
"fax_number": "301-215-4144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE RX PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-01",
"last_updated": "2016-04-08",
"status": "A",
"authorized_official_last_name": "TELLER",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-841-6776",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MD",
"license": "TA2244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.