Organization Active NPI

Cambridge Family Eye Care, LLC

  • Optometrist
  • Cambridge, MD
National Provider Identifier
1144403908
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TAO742 Issued in MD
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Paul D Brant, O.D.NPI 1962490714
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
771378900MedicaidMD

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.