NPIMap

Organization Active NPI

Montgomery County Eye Care LLC

  • Optometrist
  • Gaithersburg, MD
National Provider Identifier
1184633257
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1638 Issued in MD
Legal business name
MONTGOMERY COUNTY EYE CARE LLC
Practice address
702 Russell Ave
Suite 105
Gaithersburg, MD 20877-2606
Phone
(301) 948-2060
Fax
(301) 948-7687
NPI assigned
Aug 6, 2006
Last updated
Jul 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Dr. Adam P Rubin, O.D.
Title
Owner/Optometrist
Phone
(301) 948-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1638 MD Primary

Addresses

Primary practice location

702 Russell Ave
Suite 105
Gaithersburg, MD 20877-2606

Mailing address

702 Russell Ave
Suite 105
Gaithersburg, MD 20877-2606
Phone (301) 948-2060

National Provider Directory

National Provider Directory

Locations

702 Russell Ave
Ste 105
Gaithersburg, MD 20877
Phone (301) 948-2060

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1184633257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 RUSSELL AVE",
            "address_2": "SUITE 105",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772606",
            "telephone_number": "301-948-2060",
            "fax_number": "301-948-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 RUSSELL AVE",
            "address_2": "SUITE 105",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772606",
            "telephone_number": "301-948-2060",
            "fax_number": "301-948-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "301-948-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.