Individual provider Active NPI

Vincente Mario Simoncini, OD

  • Corneal and Contact Management Optometrist
  • Annapolis, MD
National Provider Identifier
1265570014
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
TA 1018 Issued in MD
Practice address
820 Bestgate Rd
Suite 1C
Annapolis, MD 21401-3404
Phone
(410) 266-0001
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X TA 1018 MD Primary

Addresses

Primary practice location

820 Bestgate Rd
Suite 1C
Annapolis, MD 21401-3404

Mailing address

820 Bestgate Rd
Suite 1C
Annapolis, MD 21401-3404
Phone (410) 266-0001

Other identifiers 1

IdentifierTypeStateIssuer
P01378665OtherMDRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090831000009 MD Practitioner - Optometry 6507911468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

820 Bestgate Rd
Suite 1C
Annapolis, MD 21401-3404
Phone (410) 266-0001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA 1018MDMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vincente M. Simoncini, OD PC Corneal and Contact Management CurrentSince Jun 28, 2009 Accepting new patients
Pennye Doud & Associates, PC PastSince Dec 1, 1993 Accepting new patients
Susquehanna Eye Associates LLC Corneal and Contact Management Past Accepting new patients

Locations

820 Bestgate Rd
Ste 1C
Annapolis, MD 21401
Phone (410) 266-0001

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1265570014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 BESTGATE RD",
            "address_2": "SUITE 1C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013404",
            "telephone_number": "410-266-0001",
            "fax_number": "410-266-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BESTGATE RD",
            "address_2": "SUITE 1C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013404",
            "telephone_number": "410-266-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONCINI",
        "first_name": "VINCENTE",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA 1018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01378665",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.