Individual provider Active NPI

Christopher Hay Caldwell, O.D.

  • Optometrist
  • Severna Park, MD
National Provider Identifier
1407160377
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2716 Issued in MD
Practice address
484 Fairoak Dr
Severna Park, MD 21146-3130
Phone
(908) 783-0913
NPI assigned
Aug 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2716 MD Primary

Addresses

Primary practice location

484 Fairoak Dr
Severna Park, MD 21146-3130

Mailing address

484 Fairoak Dr
Severna Park, MD 21146-3130
Phone (908) 783-0913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230507000065 MD Practitioner - Optometry 6901261403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Maryland Professional LLCGroup PAC ID 7618316902, 20 clinicians
BFT Vision IncGroup PAC ID 4880779933, 6 clinicians

Practice addresses (Care Compare)

139 Ritchie Hwy
Severna Park, MD 21146-1152
Phone (410) 544-7417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Maryland Professional LLC Optometrist CurrentSince Apr 20, 2025 Accepting new patients
BFT Vision Inc Optometrist CurrentSince Apr 1, 2023 Accepting new patients

Locations

409 W Cold Spring Ln
Baltimore, MD 21210
Phone (410) 243-5656

73 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 662-1601

139 Ritchie Hwy
Ste B
Severna Park, MD 21146
Phone (410) 544-4717

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.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1407160377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 FAIROAK DR",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463130",
            "telephone_number": "908-783-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 FAIROAK DR",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463130",
            "telephone_number": "908-783-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "HAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.