Organization Active NPI

Towson Eye Group LLC

Doing business as Peepers Family Eyecare

  • Point of Service
  • Towson, MD
National Provider Identifier
1093069544
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
MDTA0963 Issued in MD
Legal business name
TOWSON EYE GROUP LLC
Doing business as
Peepers Family Eyecare
Practice address
825 Goucher Blvd
Towson, MD 21286-5602
Phone
(410) 296-2224
Fax
(410) 821-9617
NPI assigned
Nov 6, 2012
Last updated
Nov 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Dr. Erick Gray, OD
Title
Owner
Phone
(410) 296-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X MDTA0963 MD Primary

Addresses

Primary practice location

825 Goucher Blvd
Towson, MD 21286-5602

Mailing address

825 Goucher Blvd
Towson, MD 21286-5602
Phone (410) 296-2224

Other names 1

  • Peepers Family Eyecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peepers Family Eyecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1093069544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 GOUCHER BLVD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865602",
            "telephone_number": "410-296-2224",
            "fax_number": "410-821-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 GOUCHER BLVD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865602",
            "telephone_number": "410-296-2224",
            "fax_number": "410-821-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWSON EYE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-296-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MD",
            "license": "MDTA0963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peepers Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.