Organization Active NPI

Spectacular Eye Care LLC

  • Optometrist
  • Annapolis, MD
National Provider Identifier
1356438808
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1798 Issued in MD
Legal business name
SPECTACULAR EYE CARE LLC
Practice address
509 S. Cherry Grove Ave
Suite C
Annapolis, MD 21401-4244
Phone
(410) 268-4393
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carrie Hubbell, ODNPI 1215042742
Title
Owner
Phone
(410) 268-4393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA1798 MD Primary

Addresses

Primary practice location

509 S. Cherry Grove Ave
Suite C
Annapolis, MD 21401-4244

Mailing address

509 S Cherry Grove Ave
Suite C
Annapolis, MD 21401-4244
Phone (410) 268-4393

National Provider Directory

National Provider Directory

Locations

509 S Cherry Grove Ave
Ste C
Annapolis, MD 21401
Phone (410) 268-4393

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356438808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S CHERRY GROVE AVE",
            "address_2": "SUITE C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014244",
            "telephone_number": "410-268-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S. CHERRY GROVE AVE",
            "address_2": "SUITE C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014244",
            "telephone_number": "410-268-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTACULAR EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUBBELL",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-268-4393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.