Marty J Wyman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA808 Issued in MD

Practice address

625 Baltimore Blvd
Westminster, MD 21157-6178

Phone

(410) 848-5442

Fax

(410) 848-5578

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437
  Medicare reassignment Care Compare group NPD
• Canton Crossing Optometry, LLC

  • Optometrist
  • Baltimore, MD
  • NPI 1326474263
  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Dunkirk, MD
  • NPI 1134017999
  NPD
• Silver Spring Optometry, LLC

  • Optometrist
  • Silver Spring, MD
  • NPI 1336204387
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1164522264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BALTIMORE BLVD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576178",
            "telephone_number": "410-848-5442",
            "fax_number": "410-848-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Perry Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212364901",
            "country_code": "US",
            "telephone_number": "410-931-0923",
            "fax_number": "410-931-3484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYMAN",
        "first_name": "MARTY",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "XY26",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Woodcock
• Julian Woods, DDS
• Elizabeth Anne Wright, OT
• Courtney Leigh Wunderlich
• Travis Robert Wycoff, OTR ,L
• Alice Wysocki, LGPC
• Pamela J. Xenakis
• Mindy L Yard, LCPC
• Matthew Ryan Yarmosky, DDS
• Yash Kumar MD PA

• Optometrist in Westminster, MD
• Providers in Westminster, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.