Maryland Retina Institute LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MARYLAND RETINA INSTITUTE LLC

Practice address

2919 Olney Sandy Spring Rd Ste D
Olney, MD 20832-1589

Phone

(301) 876-4900

Fax

(240) 483-4493

NPI assigned

Jun 6, 2024

Organization subpart

No

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

Authorized official

Name

Raza Shah, MDNPI 1205098910

Title

Owner

Phone

(301) 876-4900

Specialties & licenses 1

Addresses

Tax ID family

Maryland Retina Institute LLC2 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.

• Maryland Retina Institute LLC

  • Retina Specialist (Ophthalmology) Physician
  • Olney, MD
  • NPI 1568973444
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raza Shah, M.D.

  • Ophthalmology Physician
  • Olney, MD
  • NPI 1205098910
  NPD Authorized official

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1427890912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 OLNEY SANDY SPRING RD STE D",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321589",
            "telephone_number": "301-876-4900",
            "fax_number": "240-483-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 OLNEY SANDY SPRING RD STE D",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321589",
            "telephone_number": "301-876-4900",
            "fax_number": "240-483-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND RETINA INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-876-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Martinez, M.AC L.AC
• Heidi Martino, SLP
• Mimi Pokua Martins, M.D
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 01431)
• Maryland Oncology Hematology, PA
• Maryland Retina Institute LLC
• Maryland Rheumatology
• Maryland Smiles in Olney LLC (Olney Dental Wellness)
• Maryland Sportscare & Rehab LLC (Pivot Physical Therapy of Maryland)
• Maryland Visiting Providers LLC

• Medical Specialty Clinic/Center in Olney, MD
• Providers in Olney, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.