DRS Ely and Cohen Optometry of Maple Lawn LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DRS ELY AND COHEN OPTOMETRY OF MAPLE LAWN LLC

Doing business as

Maple Lawn Eye Care Center

Practice address

7625 Maple Lawn Blvd Ste 125
Fulton, MD 20759-2622

Phone

(301) 490-2020

Fax

(301) 490-2224

NPI assigned

Jul 26, 2006

Last updated

Oct 11, 2023By 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

Dr. Jacalyn Renee Ely

Title

Owner

Phone

(301) 490-2020

Specialties & licenses 1

Addresses

Other names 1

• Maple Lawn Eye Care Center Doing business as

Tax ID family

DRS Ely and Cohen Optometry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DRS Ely and Cohen Optometry of Maple Lawn LLC

  dba Maple Lawn Eye Care Center

  • Optometrist
  • Fulton, MD
  • NPI 1750720991
  NPD tax ID

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1417970609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD STE 125",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592622",
            "telephone_number": "301-490-2020",
            "fax_number": "301-490-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD STE 125",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592622",
            "telephone_number": "301-490-2020",
            "fax_number": "301-490-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS ELY AND COHEN OPTOMETRY OF MAPLE LAWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "ELY",
        "authorized_official_first_name": "JACALYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-490-2020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Lawn Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mohamed S Elrafei, DDS

• Optometrist in Fulton, MD
• Providers in Fulton, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.