Dorsam & Generie, OD, LLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

TA1997 Issued in MD

Legal business name

DORSAM & GENERIE, OD, LLC

Doing business as

revolutionEYES

Practice address

6230 Old Dobbin LN Ste 190
Columbia, MD 21045-5954

Phone

(443) 420-8113

Fax

(443) 973-6998

NPI assigned

Sep 16, 2013

Last updated

Apr 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christina Generie, O.D.NPI 1255432928

Title

Co-Owner

Phone

(443) 420-8113

Specialties & licenses 1

Addresses

Other names 1

• revolutionEYES Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina E. Generie, OD

  • Optometrist
  • Columbia, MD
  • NPI 1255432928
  Medicare reassignment Care Compare group NPD Authorized official
• Thanh-Loan Dorsam, OD

  • Optometrist
  • Washington, DC
  • NPI 1447319629

  MD

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1306272869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 RICHARDS VALLEY RD STE A9",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436964",
            "telephone_number": "443-420-8113",
            "fax_number": "443-420-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 OLD DOBBIN LN STE 190",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455954",
            "telephone_number": "443-420-8113",
            "fax_number": "443-973-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORSAM & GENERIE, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "GENERIE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "443-420-8113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA1997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "revolutionEYES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaelyn Alexis Donnell
• Mark David Donovan, LCPC, LCADC
• Nancy Suzzanne Doong, PA-C
• Door to Door Health Care LLC (MetroBest Health Services)
• Simon Huy Doquang
• Ivy Dacia Amaris Dorsett, RN
• Joelle Dorsey
• Sangita Tejas Doshi, DDS
• Irene Doud
• Jacqueline Rochelle Douge, MD

• Corneal and Contact Management Optometrist in Columbia, MD
• Providers in Columbia, MD by specialty
• Corneal and Contact Management Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.