NPIMap

Organization Active NPI

Precision Vision

  • Optometrist
  • Pikesville, MD
National Provider Identifier
1285968628
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PRECISION VISION
Practice address
4000 Old Court Rd Ste 204
Pikesville, MD 21208-6415
Phone
(410) 653-2400
Fax
(410) 653-2402
NPI assigned
Oct 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Dr. Selvin Gnanakkan, O.D.NPI 1104980846
Title
Managing Partner
Phone
(602) 770-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4000 Old Court Rd Ste 204
Pikesville, MD 21208-6415

Mailing address

4000 Old Court Rd Ste 204
Pikesville, MD 21208-6415
Phone (410) 653-2400

National Provider Directory

National Provider Directory

Locations

4000 Old Court Rd
Ste 204
Pikesville, MD 21208
Phone (410) 415-5541

1921 York Rd
Ste 1
Timonium, MD 21093
Phone (410) 561-5444

Practitioners & affiliated clinicians

Practitioners 2

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": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1285968628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD STE 204",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086415",
            "telephone_number": "410-653-2400",
            "fax_number": "410-653-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD STE 204",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086415",
            "telephone_number": "410-653-2400",
            "fax_number": "410-653-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "GNANAKKAN",
        "authorized_official_first_name": "SELVIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "602-770-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.