Active NPI
Mark W Preslan, MD
- Ophthalmology Physician
- Glen Burnie, MD
National Provider Identifier
1356383293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0033771
- Practice address
- 7671 Quarterfield Rd
Suite 304
Glen Burnie, MD 21061-4998 - Phone
- (443) 572-0655
- Fax
- (443) 572-0658
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | D33771 | MD | |
| Ophthalmology Physician | 207W00000X | D0033771 | MD | Primary |
Addresses
Primary practice location
7671 Quarterfield Rd
Suite 304
Glen Burnie, MD 21061-4998
Mailing address
7671 Quarterfield Rd
Suite 304
Glen Burnie, MD 21061-4998
Phone (443) 572-0655
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S186 / 0028 | Other | MD | BLUECHOICE |
| KZ41ST / 425229-02 | Other | MD | BC / BS OF MD |
| 428711800 | Medicaid | MD |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0033771 | MD | MD | Ophthalmology Physician |
Interoperability endpoints
- mpreslan23555@direct.umm.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587772800000",
"number": "1356383293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7671 QUARTERFIELD RD",
"address_2": "SUITE 304",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614998",
"telephone_number": "443-572-0655",
"fax_number": "443-572-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7671 QUARTERFIELD RD",
"address_2": "SUITE 304",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614998",
"telephone_number": "443-572-0655",
"fax_number": "443-572-0658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESLAN",
"first_name": "MARK",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2020-04-25",
"certification_date": "2020-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "MD",
"license": "D33771",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0033771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE",
"identifier": "S186 / 0028",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC / BS OF MD",
"identifier": "KZ41ST / 425229-02",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "428711800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.