Organization Active NPI

Parris-Castoro Eye Care Center, P.a.

  • Ambulatory Surgical Clinic/Center
  • Bel Air, MD
National Provider Identifier
1255311395
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1021 Issued in MD
Legal business name
PARRIS-CASTORO EYE CARE CENTER, P.A.
Practice address
620 Boulton St
2ND Floor
Bel Air, MD 21014-4255
Phone
(410) 399-8426
Fax
(410) 399-8427
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mary Jo O'Connell
Title
Business Manager
Phone
(410) 399-8451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1021 MD Primary

Addresses

Primary practice location

620 Boulton St
2ND Floor
Bel Air, MD 21014-4255

Mailing address

620 Boulton St
2ND Floor
Bel Air, MD 21014-4255
Phone (410) 399-8426

Other identifiers 1

IdentifierTypeStateIssuer
299131400MedicaidMD

Other names 1

  • Parris Castoro Ambulatory Surgery Center Other name

National Provider Directory

National Provider Directory

Locations

620 Boulton St
Ste 2
Bel Air, MD 21014
Phone (410) 399-8426

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": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1255311395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BOULTON ST",
            "address_2": "2ND FLOOR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144255",
            "telephone_number": "410-399-8426",
            "fax_number": "410-399-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BOULTON ST",
            "address_2": "2ND FLOOR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144255",
            "telephone_number": "410-399-8426",
            "fax_number": "410-399-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARRIS-CASTORO EYE CARE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "410-399-8451"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299131400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parris Castoro Ambulatory Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.