NPIMap

Organization Active NPI

TLC Whitten Laser Eye Associates, LLC

  • Clinic/Center
  • Frederick, MD
National Provider Identifier
1104030444
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TLC WHITTEN LASER EYE ASSOCIATES, LLC
Practice address
70 Thomas Johnson Dr
Suite 120
Frederick, MD 21702-4361
Phone
(301) 662-5190
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brian L Andrew
Title
Secretary
Phone
(636) 534-2360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

70 Thomas Johnson Dr
Suite 120
Frederick, MD 21702-4361

Mailing address

16305 Swingley Ridge Rd
Ste. 300
Chesterfield, MO 63017-1777
Phone (636) 534-2360

Other names 1

  • TLC Laser Eye Centers Frederick Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TLC Charlottesville7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104030444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16305 SWINGLEY RIDGE RD",
            "address_2": "STE. 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171777",
            "telephone_number": "636-534-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 THOMAS JOHNSON DR",
            "address_2": "SUITE 120",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024361",
            "telephone_number": "301-662-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC WHITTEN LASER EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "636-534-2360"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Laser Eye Centers Frederick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.