Organization Active NPI

Tate Enterprises of Sumner Place Inc.

Doing business as Edmonds Optician

  • Optician
  • Bethesda, MD
National Provider Identifier
1215126545
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
TATE ENTERPRISES OF SUMNER PLACE INC.
Doing business as
Edmonds Optician
Practice address
4611 Sangamore Rd
Bethesda, MD 20816-2503
Phone
(301) 229-3775
Fax
(301) 263-1223
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Mr. Samuel George Tate, OPTICIAN
Title
President
Phone
(301) 229-3775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

4611 Sangamore Rd
Bethesda, MD 20816-2503

Mailing address

4611 Sangamore Rd
Bethesda, MD 20816-2503
Phone (301) 229-3775

Other names 1

  • Edmonds Optician Doing business as

National Provider Directory

National Provider Directory

Locations

4611 Sangamore Rd
Bethesda, MD 20816
Phone (301) 229-3775

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1215126545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 SANGAMORE RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162503",
            "telephone_number": "301-229-3775",
            "fax_number": "301-263-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 SANGAMORE RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162503",
            "telephone_number": "301-229-3775",
            "fax_number": "301-263-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATE ENTERPRISES OF SUMNER PLACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-229-3775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edmonds Optician",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.