Active NPI
Randall Ward Rhees, O.D.
- Optometrist
- Fort Meade, MD
National Provider Identifier
1114995685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4945890-9934
- Practice address
- 2480 Llewellyn Ave BLDG 2480
Fort Meade, MD 20755-7081 - Phone
- (301) 677-8376
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4945890-9934 | UT | Primary |
Addresses
Primary practice location
2480 Llewellyn Ave BLDG 2480
Fort Meade, MD 20755-7081
Mailing address
2480 Llewellyn Ave
Fort Meade, MD 20755-7081
Phone (301) 677-8813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4945890-9934 | UT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1114995685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 LLEWELLYN AVE",
"city": "FORT MEADE",
"state": "MD",
"postal_code": "207557081",
"telephone_number": "301-677-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 LLEWELLYN AVE BLDG 2480",
"city": "FORT MEADE",
"state": "MD",
"postal_code": "207557081",
"telephone_number": "301-677-8376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEES",
"first_name": "RANDALL",
"middle_name": "WARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2024-07-22",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "4945890-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.