Individual provider Active NPI

Thomas Lee Rooney, O.D.

  • Optometrist
  • Dunkirk, MD
National Provider Identifier
1083095020
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2467 Issued in MD
Practice address
10264 Southern Maryland Blvd
Dunkirk, MD 20754-3037
Phone
(443) 964-8705
Fax
(443) 964-8705
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2467 MD Primary
Corneal and Contact Management Optometrist 152WC0802X TA2467 MD

Addresses

Primary practice location

10264 Southern Maryland Blvd
Dunkirk, MD 20754-3037

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

6455 Dobbin Rd
Columbia, MD 21045-5828
Phone (863) 289-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190919001109 DE Practitioner - Optometry 0143533539 Reassigns benefits to 1 organization
I20220119001936 PA Practitioner - Optometry 0143533539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1237 Quintilio Dr
Bear, DE 19701-6005
Phone (302) 838-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2467MDMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 7, 2015 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jan 28, 2022 Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Jul 29, 2019 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 7, 2015 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Oct 7, 2018 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jan 28, 2022 Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Jul 29, 2019 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Canton Crossing Optometry, LLC Optometrist CurrentSince Feb 18, 2017 Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist Current Accepting new patients
My Eye Dr. Optometrists, LLC Optometrist Past Accepting new patients

Locations

1237 Quintilio Dr
Bear, DE 19701
Phone (302) 678-1700

1404 Forrest Ave
Ste 1
Dover, DE 19904
Phone (302) 346-2020

885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861

1197 Airport Rd
Ste 1
Milford, DE 19963
Phone (302) 422-2020

35786 Atlantic Ave
Unit 1
Millville, DE 19967
Phone (302) 537-0234

1301 Bridgeville Hwy
Seaford, DE 19973
Phone (302) 262-8498

201 Stadium St
Smyrna, DE 19977
Phone (302) 653-3400

4605 Kirkwood Hwy
#A
Wilmington, DE 19808
Phone (302) 999-7171

1905 Towne Centre Blvd
Ste 110
Annapolis, MD 21401
Phone (410) 268-8200

3715 Boston St
Baltimore, MD 21224
Phone (443) 839-0335

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

5701 Greenbelt Rd
Ste 520
Berwyn Heights, MD 20740
Phone (301) 345-2053

6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210

4412 Mitchellville Rd
Bowie, MD 20716
Phone (301) 309-0000

6455 Dobbin Rd
Ste 47
Columbia, MD 21045
Phone (443) 542-5999

10264 Southern Md Blvd
Ste 101
Dunkirk, MD 20754
Phone (410) 257-6931

7810 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (301) 228-2666

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

1809 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 484-6348

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

1304 Baltimore St
Hanover, PA 17331
Phone (717) 632-8600

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1083095020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10264 SOUTHERN MARYLAND BLVD",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543037",
            "telephone_number": "443-964-8705",
            "fax_number": "443-964-8705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6455 Dobbin Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210455828",
            "country_code": "US",
            "telephone_number": "863-289-1510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROONEY",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2467",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA2467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, MD

Sources for this page

Verify at the official NPI Registry.