Organization Active NPI

Germantown Optometry, LLC

Doing business as my eye dr

  • Optometrist
  • Germantown, MD
National Provider Identifier
1114183910
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GERMANTOWN OPTOMETRY, LLC
Doing business as
my eye dr
Practice address
20946 Frederick Rd Unit a
Germantown, MD 20876-4152
Phone
(240) 361-9600
Fax
(240) 361-9605
NPI assigned
Jul 31, 2008
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Sue Downes
Title
Secretary
Phone
(317) 658-4019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

20946 Frederick Rd Unit a
Germantown, MD 20876-4152

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

20940 Frederick Rd Ste D
Germantown, MD 20876-4108
Phone (240) 361-9600

Other names 1

  • my eye dr Doing business as

National Provider Directory

National Provider Directory

Locations

20940 Frederick Rd
Ste D
Germantown, MD 20876
Phone (240) 361-9600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1114183910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20946 FREDERICK RD UNIT A",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764152",
            "telephone_number": "240-361-9600",
            "fax_number": "240-361-9605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20940 Frederick Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764108",
            "country_code": "US",
            "telephone_number": "240-361-9600",
            "fax_number": "240-361-9605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERMANTOWN OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "317-658-4019"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "my eye dr",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "my eye dr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.