Advanced Family Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2234 Issued in MD

Legal business name

ADVANCED FAMILY VISION CARE, LLC

Practice address

331 Gambrills Rd
Suite 3
Gambrills, MD 21054-1141

Phone

(443) 351-8079

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle May, O.D.NPI 1669761649

Title

Doctor

Phone

(443) 351-8079

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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.

• Michelle Ann May, O.D.

  • Optometrist
  • Gambrills, MD
  • NPI 1669761649
  Medicare reassignment NPD Authorized official
• Katherine Rose Cioffi, OD

  • Optometrist
  • Bethesda, MD
  • NPI 1952925398
  NPD

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1194139972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 GAMBRILLS RD",
            "address_2": "SUITE 3",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541141",
            "telephone_number": "443-351-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 GAMBRILLS RD",
            "address_2": "SUITE 3",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541141",
            "telephone_number": "443-351-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "443-351-8079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.