Richard Craig Edlow, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA0787 Issued in MD

Practice address

611 Frederick Rd
Ste 101
Catonsville, MD 21228-4779

Phone

(410) 747-1221

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Katzen Medical Associates, PC

  • Ophthalmology Physician
  • Lutherville, MD
  • NPI 1326052614

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1104822899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 GRIFFIN WAY",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081424",
            "telephone_number": "410-602-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 FREDERICK RD",
            "address_2": "STE 101",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284779",
            "telephone_number": "410-747-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLOW",
        "first_name": "RICHARD",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "69770802",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410029001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Dye, CRNP
• Neena Eapen, PHARMD
• Clovis Mesonge Ebage, HHA
• Patricia Eben, M.D.
• Menachem Yosef Edelman, PHARM. D.
• Edmondson Leasing Co., LLC
• Ednas Heavenly Touch Home Care Services
• Edward G. Dahne & Marlene Z. Dahne DDS
• Latisha Edwards
• Chika Egbe

• Optometrist in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Optometrist in Maryland

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