Individual provider Active NPI

Umar Mahmood

  • Optometrist
  • Hagerstown, MD
National Provider Identifier
1114667573
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2862 Issued in MD
Practice address
12916 Conamar Dr Ste 104
Hagerstown, MD 21742-2760
Phone
(301) 733-4944
Fax
(301) 733-5225
NPI assigned
Mar 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2862 MD Primary

Addresses

Primary practice location

12916 Conamar Dr Ste 104
Hagerstown, MD 21742-2760

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220716000545 MD Practitioner - Optometry 6709267107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Practice addresses (Care Compare)

12916 Conamar Dr
Suite 104
Hagerstown, MD 21742-2760
Phone (301) 733-4944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 21, 2022 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 21, 2022 Accepting new patients
My Eye Dr. Optometrists, LLC Optometrist Past Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

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

5500 Buckeystown Pike
Ste 620
Frederick, MD 21703
Phone (301) 663-4745

17301 Valley Mall Rd
Hagerstown, MD 21740
Phone (240) 850-2002

1725B Dual Hwy
Hagerstown, MD 21740
Phone (301) 739-6573

12916 Conamar Dr
Ste 104
Hagerstown, MD 21742
Phone (301) 733-4944

2 E Main St
Thurmont, MD 21788
Phone (301) 271-0554

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

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1114667573",
    "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": "12916 CONAMAR DR STE 104",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422760",
            "telephone_number": "301-733-4944",
            "fax_number": "301-733-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "UMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.