NPIMap

Organization Active NPI

Whittenlasereye LLC

  • Ophthalmology Physician
  • Charlotte Hall, MD
National Provider Identifier
1124433867
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WHITTENLASEREYE LLC
Practice address
37767 Market Dr
Charlotte Hall, MD 20622-3188
Phone
(301) 825-5755
NPI assigned
Jun 20, 2014
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Dr. Mark E Whitten, M.D.NPI 1306928965
Title
Sole Member
Phone
(301) 825-5755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

37767 Market Dr
Charlotte Hall, MD 20622-3188

Mailing address

41575 Knight Rd
Leonardtown, MD 20650-2226

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1124433867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41575 KNIGHT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37767 MARKET DR",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223188",
            "telephone_number": "301-825-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITTENLASEREYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "301-825-5755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.