Active NPI
Optical Shop
- Optician
- Silver Spring, MD
National Provider Identifier
1154479657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- OPTICAL SHOP
- Practice address
- 8630 Fenton St
Suite 123
Silver Spring, MD 20910-3806 - Phone
- (301) 589-7732
- Fax
- (301) 589-5245
- NPI assigned
- Jan 8, 2007
- 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
- Elizabeth Bonny
- Title
- Office Manager
- Phone
- (301) 588-1177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
8630 Fenton St
Suite 123
Silver Spring, MD 20910-3806
Mailing address
8630 Fenton St
Suite 123
Silver Spring, MD 20910-3806
Phone (301) 589-7732
National Provider Directory
National Provider DirectoryLocations
8630 Fenton St
Ste 123
Silver Spring, MD 20910
Phone (301) 589-7732
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Silver Spring, MD
- NPI 1720076904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1154479657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8630 FENTON ST",
"address_2": "SUITE 123",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103806",
"telephone_number": "301-589-7732",
"fax_number": "301-589-5245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8630 FENTON ST",
"address_2": "SUITE 123",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103806",
"telephone_number": "301-589-7732",
"fax_number": "301-589-5245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTICAL SHOP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "BONNY",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "301-588-1177"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.