Active NPI
Cambridge Family Eye Care, LLC
- Optometrist
- Cambridge, MD
National Provider Identifier
1144403908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TAO742
- Legal business name
- CAMBRIDGE FAMILY EYE CARE, LLC
- Practice address
- 401 Race St
Cambridge, MD 21613-1835 - Phone
- (410) 228-0500
- Fax
- (410) 228-0504
- NPI assigned
- Dec 14, 2007
- Last updated
- Apr 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul D Brant, O.D.
- Title
- Sole Member
- Phone
- (410) 228-0500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TAO742 | MD | Primary |
Addresses
Primary practice location
401 Race St
Cambridge, MD 21613-1835
Mailing address
401 Race St
Cambridge, MD 21613-1835
Phone (410) 228-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 771378900 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
401 Race St
#976
Cambridge, MD 21613
Phone (401) 228-0500
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.
-
- Optometrist
- Cambridge, MD
- NPI 1962490714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272240000000",
"number": "1144403908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 RACE ST",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216131835",
"telephone_number": "410-228-0500",
"fax_number": "410-228-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 RACE ST",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216131835",
"telephone_number": "410-228-0500",
"fax_number": "410-228-0504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIDGE FAMILY EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-14",
"last_updated": "2010-04-26",
"status": "A",
"authorized_official_last_name": "BRANT",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "410-228-0500",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TAO742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "771378900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MD
- Brighter Days, LLC
- Senobia Brooks
- Sher'Ra Belynn Brown, CRNP-PMH
- Alida Bushe, CRNP-PMH
- Cambridge Chiropractic Center, P.a
- Cambridge Foot & Ankle Center
- Cambridge Foot & Ankle Center
- Cambridge MD Opco LLC
- Cambridge Operating LLC
- Cambridge Physical Therapy and Sports Care, LLC (Professional Physical Therapy and Sports Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.