Longmeadow Eyecare Incorporated

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LONGMEADOW EYECARE INCORPORATED

Practice address

1545 Potomac Ave
Hagerstown, MD 21742-2930

Phone

(301) 797-3030

NPI assigned

Oct 5, 2005

Last updated

Jul 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David W Huntzberry

Title

President

Phone

(301) 797-3030

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 4

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.

• Stanley Clyde Bowser, OD

  • Optometrist
  • Hagerstown, MD
  • NPI 1174691711
  NPD (past)
• Nagaraju Kemidi, O.D.

  • Optometrist
  • Hagerstown, MD
  • NPI 1962631838
  NPD (past)
• Lisa Godwin Smith, O.D.

  • Optometrist
  • Frederick, MD
  • NPI 1093877862
  NPD (past)
• Rose Navin Wood, O.D.

  • Optometrist
  • Hagerstown, MD
  • NPI 1063525681
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1417944299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 POTOMAC AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422930",
            "telephone_number": "301-797-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 POTOMAC AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422930",
            "telephone_number": "301-797-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGMEADOW EYECARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "HUNTZBERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-797-3030"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0736980001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111658400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MARYLAND",
            "identifier": "53066701 X754LO",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fahad Lodhi, M.D.
• Gregory Loeb, MD
• Donna E Lofton, C.N.M.
• Jaime Long, PTA
• Toby Allison Long, LCPC, NCC
• Longmeadow Family Dental Care
• Kimberly Ann Longo
• Taryn Christine Longstreth, PA-C
• Fern Elizabeth Loomis, R.N.
• Karin Looper, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.