NPIMap

Organization Active NPI

Dasod Eye Care LLC

  • Eyewear Supplier
  • Leonardtown, MD
National Provider Identifier
1295387298
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DASOD EYE CARE LLC
Practice address
26772 Point Lookout Rd
Leonardtown, MD 20650-4905
Phone
(301) 997-1822
NPI assigned
Jul 10, 2019
Organization subpart
Yes
Parent organization
DASOD EYE CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Darryl Smith, OD
Title
Optometrist
Phone
(301) 789-6636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

26772 Point Lookout Rd
Leonardtown, MD 20650-4905

Mailing address

26772 Point Lookout Rd
Leonardtown, MD 20650-4905
Phone (301) 997-1822

Other names 1

  • Breton Bay Optical, Optometrist Doing business as

National Provider Directory

National Provider Directory
Part of
Dasod Eye Care LLC

Locations

26772 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-3300

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1295387298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26772 POINT LOOKOUT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206504905",
            "telephone_number": "301-997-1822",
            "fax_number": "301-997-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26772 POINT LOOKOUT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206504905",
            "telephone_number": "301-997-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASOD EYE CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DASOD EYE CARE LLC",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "301-789-6636",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breton Bay Optical, Optometrist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.