Active NPI
Stanley Allen Feinblum, O.D.
- Optometrist
- Easton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0663
- Practice address
- 210 Marlboro Ave
Suite 31
Easton, MD 21601-2765 - Phone
- (410) 822-3937
- Fax
- (410) 822-2652
- NPI assigned
- Jan 4, 2006
- Last updated
- Nov 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA0663 | MD | Primary |
Addresses
Primary practice location
210 Marlboro Ave
Suite 31
Easton, MD 21601-2765
Mailing address
210 Marlboro Ave
Suite 31
Easton, MD 21601-2765
Phone (410) 822-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 418419000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
Locations
401 Race St
Cambridge, MD 21613
Phone (401) 228-0500
210 Marlboro Ave
Ste 31
Easton, MD 21601
Phone (410) 822-3937
28522 Marlboro Ave
#A
Easton, MD 21601
Phone (410) 690-8844
2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1205814795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 MARLBORO AVE",
"address_2": "SUITE 31",
"city": "EASTON",
"state": "MD",
"postal_code": "216012765",
"telephone_number": "410-822-3937",
"fax_number": "410-822-2652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MARLBORO AVE",
"address_2": "SUITE 31",
"city": "EASTON",
"state": "MD",
"postal_code": "216012765",
"telephone_number": "410-822-3937",
"fax_number": "410-822-2652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEINBLUM",
"first_name": "STANLEY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA0663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "418419000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.