Active NPI
Beverly Siegel Chado, OD
- Optometrist
- Germantown, MD
National Provider Identifier
1306897749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0879
- Practice address
- 19520 Waters Rd Ste 1
Germantown, MD 20874-2701 - Phone
- (301) 253-0084
- Fax
- (240) 207-3271
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA0879 | MD | Primary |
Addresses
Primary practice location
19520 Waters Rd Ste 1
Germantown, MD 20874-2701
Mailing address
19520 Waters Rd Ste 1
Germantown, MD 20874-2701
Phone (301) 253-0084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19520 Waters Rd
Suite 1
Germantown, MD 20874-2701
Phone (301) 253-0084
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA0879 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye to Eye Inc | Optometrist | Current | Accepting new patients |
Locations
13061 Wisteria Dr
Germantown, MD 20874
Phone (301) 253-0084
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621728000000",
"number": "1306897749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19520 WATERS RD STE 1",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742701",
"telephone_number": "301-253-0084",
"fax_number": "240-207-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19520 WATERS RD STE 1",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742701",
"telephone_number": "301-253-0084",
"fax_number": "240-207-3271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADO",
"first_name": "BEVERLY",
"middle_name": "SIEGEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2021-05-23",
"certification_date": "2021-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA0879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.