NPIMap

Organization Active NPI

Katzen Medical Associates, PC

  • Optometrist
  • Abingdon, MD
National Provider Identifier
1215748447
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KATZEN MEDICAL ASSOCIATES, PC
Practice address
3401 Box Hill Corporate Center Dr Ste 202
Abingdon, MD 21009-1200
Phone
(410) 569-0707
Fax
(410) 569-0711
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Thomas Dudley
Title
Chief Executive Officer
Phone
(920) 915-5202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3401 Box Hill Corporate Center Dr Ste 202
Abingdon, MD 21009-1200

Mailing address

3401 Box Hill Corporate Center Dr Ste 202
Abingdon, MD 21009-0000
Phone (410) 569-0707

National Provider Directory

National Provider Directory
Tax ID family
Katzen Medical Associat20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1215748447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 BOX HILL CORPORATE CENTER DR STE 202",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210090000",
            "telephone_number": "410-569-0707",
            "fax_number": "410-569-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BOX HILL CORPORATE CENTER DR STE 202",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091200",
            "telephone_number": "410-569-0707",
            "fax_number": "410-569-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATZEN MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "920-915-5202"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.