Active NPI
Robert H Teunis Jr., OD
- Optometrist
- Rockville, MD
National Provider Identifier
1376629188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA975
- Practice address
- 16819 Crabbs Branch Way
Rockville, MD 20855-2215 - Phone
- (301) 948-9171
- Fax
- (301) 926-1432
- NPI assigned
- Oct 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA975 | MD | Primary |
Addresses
Primary practice location
16819 Crabbs Branch Way
Rockville, MD 20855-2215
Mailing address
16819 Crabbs Branch Way
Rockville, MD 20855-2215
Phone (301) 948-9171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G01055 | Other | MD | MEDICARE GROUP PIN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA975 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teunis Vision Center | Optometrist | Past | Accepting new patients |
| Adam H Madison Odpc | 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 and National Provider Directory roles.
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- Fredericksburg, VA
- NPI 1518993641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1376629188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16819 CRABBS BRANCH WAY",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208552215",
"telephone_number": "301-948-9171",
"fax_number": "301-926-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16819 CRABBS BRANCH WAY",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208552215",
"telephone_number": "301-948-9171",
"fax_number": "301-926-1432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEUNIS",
"first_name": "ROBERT",
"middle_name": "H",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA975",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "G01055",
"state": "MD"
}
],
"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 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.