Platinum Eyes

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

18272823 Issued in MD

Legal business name

PLATINUM EYES

Practice address

45315 Alton LN
Suite 16038
California, MD 20619

Phone

(301) 863-6950

Fax

(301) 863-6954

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Darryl A Smith, OD

Title

Optometrist

Phone

(301) 863-6950

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Plattinum Eyes Doing business as

Locations

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1376742270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45315 ALTON LN",
            "address_2": "SUITE 16038",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "20619",
            "telephone_number": "301-863-6950",
            "fax_number": "301-863-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45315 ALTON LN",
            "address_2": "SUITE 16038",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "20619",
            "telephone_number": "301-863-6950",
            "fax_number": "301-863-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM EYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "301-863-6950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MD",
            "license": "18272823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1920928",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plattinum Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in California, MD
• Providers in California, MD by specialty
• Eyewear Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.