Organization Active NPI

Allied Eyecare, LLC

Doing business as Advantica EyeCare

  • Point of Service
  • Ellicott City, MD
National Provider Identifier
1215102710
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advantica Eyecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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.

Verify at the official NPI Registry.