Rockville Eye Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1573 Issued in MD

Legal business name

ROCKVILLE EYE CENTER, INC.

Practice address

11125 Rockville Pike
Suite 303
Rockville, MD 20852-3142

Phone

(301) 231-5222

Fax

(301) 231-0551

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Pei Wang, ODNPI 1942384102

Title

OD

Phone

(301) 231-5222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Pei Wang, OD

  • Optometrist
  • Rockville, MD
  • NPI 1942384102

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1225203987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE",
            "address_2": "SUITE 303",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-231-5222",
            "fax_number": "301-231-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE",
            "address_2": "SUITE 303",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-231-5222",
            "fax_number": "301-231-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE EYE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "PEI",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "301-231-5222",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416962000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rockville Dental Center
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• Rockville Eye Associates, PC
• Rockville Eye Care LLC
• Rockville Family and Cosmetic Dentistry
• Rockville Family Dental Group
• Rockville Family Dental Groups Corp
• Rockville Gastroenterology and Hepatology
• Rockville Geriatrics and Palliative Medicine, LLC

• Optometrist in Rockville, MD
• Providers in Rockville, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.