Fredericktowne Eye Care John Higinbotham OD PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

TA1174 Issued in MD

Legal business name

FREDERICKTOWNE EYE CARE JOHN HIGINBOTHAM OD PA

Practice address

1202 E Patrick St Ste 4
Frederick, MD 21701-3167

Phone

(301) 663-8858

Fax

(301) 663-8871

NPI assigned

Jul 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Patrick Higinbotham, ODNPI 1952465528

Title

Optometrist

Phone

(301) 663-8858

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• John Patrick Higinbotham, OD

  • Optometrist
  • Frederick, MD
  • NPI 1952465528

  MD, Optometrist

  Medicare reassignment NPD Authorized official
• Mahrukh Khan, CRNP

  • Nurse Practitioner
  • Frederick, MD
  • NPI 1366081200
  NPD

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1386809945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E PATRICK ST STE 4",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013167",
            "telephone_number": "301-663-8858",
            "fax_number": "301-663-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E PATRICK ST STE 4",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013167",
            "telephone_number": "301-663-8858",
            "fax_number": "301-663-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKTOWNE EYE CARE JOHN HIGINBOTHAM OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "HIGINBOTHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "301-663-8858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "TA1174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Urosurgical Center LLC
• Beth Frederick, PSY D
• Frederick'S Radiology & Diagnostic Center, LLC
• Fredericks Sport and Spine Clinic Inc
• Fredericktown Ambulatory Surgical Facility, Inc.
• Free State Health and Wellness, LLC
• Freedom Home Dialysis, LLC
• Allison Freeman, PHYSICIAN ASSISTANT
• Julianna Freeze, PT, DPT
• Frank Joseph Freijomil, DPT

• Durable Medical Equipment & Medical Supplies in Frederick, MD
• Providers in Frederick, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.