Individual provider Active NPI

Adriana Elyse Esten, OD

  • Optometrist
  • North Bethesda, MD
National Provider Identifier
1356027106
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2919 Issued in MD
Practice address
11811 Grand Park Ave
North Bethesda, MD 20852-8676
Phone
(888) 492-7297
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2919 MD Primary

Addresses

Primary practice location

11811 Grand Park Ave
North Bethesda, MD 20852-8676

Mailing address

4710 Elm St Apt E1007
Bethesda, MD 20814-3792

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TA2919MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Warby Parker Inc. CurrentSince Jul 2, 2023 Accepting new patients

Locations

11811 Grand Park Ave
North Bethesda, MD 20852

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1356027106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 ELM ST APT E1007",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 GRAND PARK AVE",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208528676",
            "telephone_number": "888-492-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEN",
        "first_name": "ADRIANA",
        "middle_name": "ELYSE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.