Organization Active NPI

Eye Consultants of Maryland PA

  • Ophthalmology Physician
  • Owings Mills, MD
National Provider Identifier
1376679100
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CONSULTANTS OF MARYLAND PA
Practice address
21 Crossroads Dr
Suite 425
Owings Mills, MD 21117-5441
Phone
(410) 581-2020
Fax
(410) 654-9264
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Stanley Sol Schocket, M.D.
Title
Owner
Phone
(410) 281-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

21 Crossroads Dr
Suite 425
Owings Mills, MD 21117-5441

Mailing address

21 Crossroads Dr
Suite 425
Owings Mills, MD 21117-5441
Phone (410) 581-2020

Other identifiers 1

IdentifierTypeStateIssuer
472741000MedicaidMD

National Provider Directory

National Provider Directory

Locations

7310 Esquire Ct
Ste 3
Elkridge, MD 21075
Phone (410) 796-4555

21 Crossroads Dr
#S425
Owings Mills, MD 21117
Phone (410) 581-2020

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1376679100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CROSSROADS DR",
            "address_2": "SUITE 425",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175441",
            "telephone_number": "410-581-2020",
            "fax_number": "410-654-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CROSSROADS DR",
            "address_2": "SUITE 425",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175441",
            "telephone_number": "410-581-2020",
            "fax_number": "410-654-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CONSULTANTS OF MARYLAND PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "SCHOCKET",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "SOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-281-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472741000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.