Individual provider Active NPI

Anthony Kameen Jr., M.D.

  • Ophthalmology Physician
  • Towson, MD
National Provider Identifier
1194807727
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0029917 Issued in MD
Practice address
1104 Kenilworth Dr
Suite 400
Towson, MD 21204-2101
Phone
(410) 339-7200
Fax
(410) 339-7203
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0029917 MD Primary

Addresses

Primary practice location

1104 Kenilworth Dr
Suite 400
Towson, MD 21204-2101

Mailing address

1104 Kenilworth Dr
Suite 400
Towson, MD 21204-2101
Phone (410) 339-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701000392 SC Practitioner - Ophthalmology 9931125150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Island Ophthalmology Ophthalmology CurrentSince Jun 1, 2021 Accepting new patients
Sea Island Ophthalmology Ophthalmology PastSince Jun 1, 2021 Accepting new patients

Locations

111 High Tide Dr
Beaufort, SC 29906
Phone (843) 525-1500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1194807727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 KENILWORTH DR",
            "address_2": "SUITE 400",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042101",
            "telephone_number": "410-339-7200",
            "fax_number": "410-339-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 KENILWORTH DR",
            "address_2": "SUITE 400",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042101",
            "telephone_number": "410-339-7200",
            "fax_number": "410-339-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMEEN",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0029917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.