Organization Active NPI

Accuvision Ellicott City Inc

  • Preferred Provider Organization
  • Ellicott City, MD
National Provider Identifier
1225158686
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
TA0888 Issued in MD
Legal business name
ACCUVISION ELLICOTT CITY INC
Practice address
10050 Baltimore National Pike
Suite F100
Ellicott City, MD 21042-3501
Phone
(410) 461-2020
Fax
(410) 461-2672
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Dr. Robert Leikin, O.D.
Title
Owner
Phone
(410) 461-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X TA0888 MD Primary

Addresses

Primary practice location

10050 Baltimore National Pike
Suite F100
Ellicott City, MD 21042-3501

Mailing address

10050 Baltimore National Pike
Suite F100
Ellicott City, MD 21042-3501
Phone (410) 461-2020

Other names 1

  • Pearle Express Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1225158686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 BALTIMORE NATIONAL PIKE",
            "address_2": "SUITE F100",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423501",
            "telephone_number": "410-461-2020",
            "fax_number": "410-461-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 BALTIMORE NATIONAL PIKE",
            "address_2": "SUITE F100",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423501",
            "telephone_number": "410-461-2020",
            "fax_number": "410-461-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUVISION ELLICOTT CITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "LEIKIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-461-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MD",
            "license": "TA0888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Express",
            "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 Mar 29, 2010; 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.