Individual provider Active NPI

Jason Thomas Palik, OD

  • Optometrist
  • Annapolis, MD
National Provider Identifier
1407882129
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1955 Issued in MD
Practice address
2002 Medical Pkwy Ste 320
Annapolis, MD 21401-7901
Phone
(410) 571-8733
Fax
(410) 571-6309
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1955 MD Primary

Addresses

Primary practice location

2002 Medical Pkwy Ste 320
Annapolis, MD 21401-7901

Mailing address

2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131
Phone (667) 354-5528

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
I20060929000514 MD Practitioner - Optometry 6103821913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Eye Care and Laser Center LLCGroup PAC ID 2769460971, 79 clinicians

Practice addresses (Care Compare)

2002 Medical Pkwy
Suite 320
Annapolis, MD 21401-7901
Phone (410) 571-8733

Merit-based Incentive Payment System (MIPS)

Final score
83.62 of 100Reported as group
Quality
82.27
Promoting interoperability
100
Improvement activities
40
Cost
63.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Eye Care and Laser Center LLC Optometrist CurrentSince Sep 25, 2023 Accepting new patients
Brull & Honig Mdpa CurrentSince Jun 1, 2006 Accepting new patients

Locations

2002 Medical Pkwy
Ste 320
Annapolis, MD 21401

2661 Riva Rd
Ste 1030
Annapolis, MD 21401

23 Crossroads Dr
Ste 310
Owings Mills, MD 21117
Phone (410) 377-7611

Interoperability endpoints

  • Direct secure messaging: jason.palik@vip.emadirect.md

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1407882129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD STE 1030",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017131",
            "telephone_number": "667-354-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY STE 320",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017901",
            "telephone_number": "410-571-8733",
            "fax_number": "410-571-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALIK",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.