Individual provider Active NPI

F. Nicholas Codd

  • Optician
  • Severna Park, MD
National Provider Identifier
1124249818
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
02164910 Issued in MD
Practice address
670 Ritchie Highway
Severna Park, MD 21146-3979
Phone
(410) 647-4924
Fax
(410) 647-3239
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 02164910 MD Primary

Addresses

Primary practice location

670 Ritchie Highway
Severna Park, MD 21146-3979

Mailing address

PO Box 627
Severna Park, MD 21146-0627
Phone (410) 647-4924

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

LicenseStateTypeSpecialty
02164910MDMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1124249818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211460627",
            "telephone_number": "410-647-4924",
            "fax_number": "410-647-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 RITCHIE HIGHWAY",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463979",
            "telephone_number": "410-647-4924",
            "fax_number": "410-647-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODD",
        "first_name": "F.",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MD",
            "license": "02164910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.