NPIMap

Organization Active NPI

Mid-Atlantic Glaucoma Experts, LLC

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1194843979
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0060726 Issued in MD
Legal business name
MID-ATLANTIC GLAUCOMA EXPERTS, LLC
Practice address
6115 Falls Rd
Suite 333
Baltimore, MD 21209-2219
Phone
(410) 377-2422
Fax
(410) 377-7960
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alan L Robin, MDNPI 1427010107
Title
President
Phone
(410) 377-2422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X D0060726 MD Primary

Addresses

Primary practice location

6115 Falls Rd
Suite 333
Baltimore, MD 21209-2219

Mailing address

6115 Falls Rd
Suite 333
Baltimore, MD 21209-2219
Phone (410) 377-2422

National Provider Directory

National Provider Directory

Locations

6115 Falls Rd
Ste 333
Baltimore, MD 21209
Phone (410) 377-2422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194843979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 FALLS RD",
            "address_2": "SUITE 333",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092219",
            "telephone_number": "410-377-2422",
            "fax_number": "410-377-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 FALLS RD",
            "address_2": "SUITE 333",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092219",
            "telephone_number": "410-377-2422",
            "fax_number": "410-377-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC GLAUCOMA EXPERTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-377-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0060726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.