Active NPI
Wendy S Rothman, O.D.
- Optometrist
- Rockville, MD
National Provider Identifier
1336240480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0733
- Practice address
- 15200 Shady Grove Rd
Suite 100
Rockville, MD 20850-3218 - Phone
- (301) 670-1212
- Fax
- (301) 216-9692
- NPI assigned
- Sep 25, 2006
- Last updated
- Aug 14, 2009
- 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 | TA0733 | MD | Primary |
Addresses
Primary practice location
15200 Shady Grove Rd
Suite 100
Rockville, MD 20850-3218
Mailing address
15200 Shady Grove Rd
Suite 100
Rockville, MD 20850-3218
Phone (301) 670-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA1210 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shady Grove Eye & Vision Care, LLC | Optometrist | Past | Accepting new patients |
| Dr Alan N Glazier Optometrist PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Rockville, MD
- NPI 1124083530
-
dba Shady Grove Eye & Vision Care
- Optometrist
- Rockville, MD
- NPI 1023103801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250208000000",
"number": "1336240480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15200 SHADY GROVE RD",
"address_2": "SUITE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503218",
"telephone_number": "301-670-1212",
"fax_number": "301-216-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 SHADY GROVE RD",
"address_2": "SUITE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503218",
"telephone_number": "301-670-1212",
"fax_number": "301-216-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMAN",
"first_name": "WENDY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2009-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA0733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.