Samuel Chado, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002819 Issued in GA

Practice address

11300 Rockville Pike Ste 1202
Rockville, MD 20852-3040

Phone

(301) 896-0890

Fax

(301) 896-0968

NPI assigned

Jun 26, 2014

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI, DC, VA, CA, MD5 enrollments

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 5

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Family Optometric Associates P.C.

  • Optometrist
  • Bethesda, MD
  • NPI 1629197520

  DC, HI, VA

  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437
  Medicare reassignment NPD
• Family Optometric Associates of California, Inc.

  dba Family Optometric Associates

  • Optometrist
  • San Diego, CA
  • NPI 1235501321
  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Hagerstown, MD
  • NPI 1063862571
  NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Laurel, MD
  • NPI 1972900058
  NPD
• Eye to Eye of Frederick Inc

  • Optometrist
  • Frederick, MD
  • NPI 1861683872
  NPD (past)
• Stephen R. Glaser M.D. P.C.

  • Ophthalmology Physician
  • Rockville, MD
  • NPI 1104145853
  NPD (past)
• Stephen R. Glaser M.D. P.C.

  • Optometrist
  • Rockville, MD
  • NPI 1417821919
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1285049437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 CAMERON WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013049",
            "telephone_number": "301-896-0890",
            "fax_number": "301-896-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 ROCKVILLE PIKE STE 1202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523040",
            "telephone_number": "301-896-0890",
            "fax_number": "301-896-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADO",
        "first_name": "SAMUEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD OPTOMETRY LICENSE",
            "identifier": "TA2581",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL LICENSE",
            "identifier": "OPT002819",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CH Specialty Services MD LLC
• Andrew Cha
• Jenna Cha
• Jasmin Chacko
• Daysi Chacon
• Tong Chun Chaekal
• Ausim Chaghtai, M.D.
• Michael B Chait, O.D.
• Sushanta Chakder, R.PH
• Ruth Chali

• 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 Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.