Organization Active NPI

Choice Vision Center LLC

  • Optometrist
  • Annapolis, MD
National Provider Identifier
1417308503
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2237 Issued in MD
Legal business name
CHOICE VISION CENTER LLC
Practice address
975 Bay Ridge Rd
Annapolis, MD 21403-3934
Phone
(240) 547-1432
Fax
(443) 458-0904
NPI assigned
Jun 29, 2016
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Ejemeare Igene, O.D.NPI 1538466032
Title
Presidetn
Phone
(240) 547-1432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2237 MD Primary

Addresses

Primary practice location

975 Bay Ridge Rd
Annapolis, MD 21403-3934

Mailing address

6609 24TH Ave
Hyattsville, MD 20782-1711
Phone (240) 547-1432

National Provider Directory

National Provider Directory

Locations

975 Bay Ridge Rd
Annapolis, MD 21403
Phone (410) 268-7688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1417308503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 24TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821711",
            "telephone_number": "240-547-1432",
            "fax_number": "443-458-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BAY RIDGE RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033934",
            "telephone_number": "240-547-1432",
            "fax_number": "443-458-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "IGENE",
        "authorized_official_first_name": "EJEMEARE",
        "authorized_official_title_or_position": "PRESIDETN",
        "authorized_official_telephone_number": "240-547-1432",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.