Elizabeth Ann Montemurro, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1614 Issued in MD

Practice address

1 Newport Dr
Forest Hill, MD 21050-1659

Phone

(410) 838-3200

Fax

(410) 838-0795

NPI assigned

Mar 1, 2006

Last updated

Feb 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Ann Weimer Former name

Medicare fee-for-service enrollment

Enrolled in MD, PA2 enrollments

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 2

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1999

Medicare assignment

May accept Medicare assignment

Group practices

West Cecil Health Center Inc.Group PAC ID 6709964398, shared by 3 NPIs, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6703/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DAHIAD

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

• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437
  Medicare reassignment NPD
• West Cecil Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Conowingo, MD
  • NPI 1366625089
  Medicare reassignment NPD
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Carlisle, PA
  • NPI 1003264607
  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  dba Myeyedr

  • Optometrist
  • Forest Hill, MD
  • NPI 1780066936
  NPD
• West Cecil Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Elkton, MD
  • NPI 1083409536
  NPD
• West Cecil Health Center Inc.

  dba Beacon Health Center

  • Federally Qualified Health Center (FQHC)
  • Havre de Grace, MD
  • NPI 1437697273
  NPD
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Cranberry Township, PA
  • NPI 1093688491
  NPD
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Lancaster, PA
  • NPI 1144717091
  NPD
• Halpern Eye Care of Maryland, Inc.

  • Optometrist
  • Aberdeen, MD
  • NPI 1497936884
  NPD (past)
• Halpern Eye Care of Maryland, Inc.

  • Optometrist
  • Elkton, MD
  • NPI 1801076880
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1174590996",
    "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": "1 NEWPORT DR",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210501659",
            "telephone_number": "410-838-3200",
            "fax_number": "410-838-0795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 Indian Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013507",
            "country_code": "US",
            "telephone_number": "724-465-6232",
            "fax_number": "724-465-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTEMURRO",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE008359T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WEIMER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Makenzie Mitchell
• MNR Industries LLC (ExpressCare of Forest Hill)
• Nelly Molano, C.R.N.P.
• Soe Thinzar Mon, DDS
• Monarch Behavioral Therapy Bii, LLC (Behavioral Innovations)
• Bettina Moore, RNFA
• Barbara Ellen Moran, PT
• Susan C. Mordente, RN
• Laura Morganti, RBT
• Mt. Washington Pediatric Community Health Services, LLC

• Optometrist in Forest Hill, MD
• Providers in Forest Hill, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.