NPIMap

Individual provider Active NPI

Chelsea Dayton, OD

  • Optometrist
  • Hagerstown, MD
National Provider Identifier
1285019109
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2461 Issued in MD
Practice address
220 Champion Dr
Suite 100
Hagerstown, MD 21740-6665
Phone
(301) 791-0888
Fax
(301) 761-3611
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2461 MD Primary

Addresses

Primary practice location

220 Champion Dr
Suite 100
Hagerstown, MD 21740-6665

Mailing address

220 Champion Dr
Suite 100
Hagerstown, MD 21740-6665
Phone (301) 791-0888

Other names 1

  • Miss Chelsea Root Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150805008889 MD Practitioner - Optometry 0446564314 Reassigns benefits to 1 organization
I20211202000041 WV Practitioner - Optometry 0446564314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of West Virginia PLLCGroup PAC ID 6709170434, 22 clinicians
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Practice addresses (Care Compare)

1190 New Creek Hwy
Keyser, WV 26726-8233
Phone (304) 788-7800

12101 Winchester Rd
Suite 102
Cumberland, MD 21502-7688
Phone (301) 722-6480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2461MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jun 24, 2019 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jun 24, 2019 Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

12101 Winchester Rd
Ste 102
Lavale, MD 21502
Phone (301) 722-6480

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

838 Somerset Blvd
Charles Town, WV 25414
Phone (304) 725-4828

1190 New Creek Hwy
Keyser, WV 26726
Phone (304) 788-7800

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1285019109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHAMPION DR",
            "address_2": "SUITE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406665",
            "telephone_number": "301-791-0888",
            "fax_number": "301-761-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHAMPION DR",
            "address_2": "SUITE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406665",
            "telephone_number": "301-791-0888",
            "fax_number": "301-761-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYTON",
        "first_name": "CHELSEA",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "ROOT",
            "prefix": "MISS",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.