Breton Bay Optical Shop, LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

BRETON BAY OPTICAL SHOP, LLC

Practice address

40845 Merchants LN
Suite 150
Leonardtown, MD 20650-3767

Phone

(301) 997-1822

Fax

(301) 997-1823

NPI assigned

May 21, 2015

Last updated

May 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie A Murphy, OPTICIAN

Title

Manager

Phone

(301) 997-1822

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1124407226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40845 MERCHANTS LN",
            "address_2": "SUITE 150",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503767",
            "telephone_number": "301-997-1822",
            "fax_number": "301-997-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40845 MERCHANTS LN",
            "address_2": "SUITE 150",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503767",
            "telephone_number": "301-997-1822",
            "fax_number": "301-997-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETON BAY OPTICAL SHOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-997-1822",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Bowes, LMSW
• Deborah Leann Bowler, CHT
• James Carroll Boyd, MD
• Stacia E. Brandenburg, PA-C
• Lorrie Brennan
• Meenakshi Garg Brewster, M.D.
• Margrett Ann Brooks, PHD
• Jeffrey Brown
• Caroline L Brunger
• Nicole Burke

• Optician in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Optician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.