Active NPI
Allied Eyecare, LLC
Doing business as Advantica EyeCare
- Point of Service
- Ellicott City, MD
National Provider Identifier
1215102710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Legal business name
- ALLIED EYECARE, LLC
- Doing business as
- Advantica EyeCare
- Practice address
- 3290 Pine Orchard LN
Suite D
Ellicott City, MD 21042-2374 - Phone
- (410) 418-4414
- Fax
- (443) 574-1134
- NPI assigned
- Apr 25, 2008
- Last updated
- Apr 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Suzanne Sauer
- Title
- Chief Operating Officer
- Phone
- (410) 418-4414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | NU | Primary |
Addresses
Primary practice location
3290 Pine Orchard LN
Suite D
Ellicott City, MD 21042-2374
Mailing address
19321 US Highway 19 N # C
Suite 320
Clearwater, FL 33764-3169
Phone (727) 538-7719
Other names 1
- Advantica EyeCare
National Provider Directory
National Provider Directory- Tax ID family
- Advantica Eyecare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Contractor
- Clearwater, FL
- NPI 1538367768
Networks
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1215102710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19321 US HIGHWAY 19 N # C",
"address_2": "SUITE 320",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337643169",
"telephone_number": "727-538-7719",
"fax_number": "727-538-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3290 PINE ORCHARD LN",
"address_2": "SUITE D",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422374",
"telephone_number": "410-418-4414",
"fax_number": "443-574-1134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIED EYECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "SAUER",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "SUZANNE",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "410-418-4414"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advantica EyeCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.