Organization Active NPI

Barry M. Lebowitz, O.D. , M.P.H. , LLC

Doing business as Potomac Eye Care

  • Optometrist
  • Gaithersburg, MD
National Provider Identifier
1437333853
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1358 Issued in MD
Legal business name
BARRY M. LEBOWITZ, O.D. , M.P.H. , LLC
Doing business as
Potomac Eye Care
Practice address
12129 Darnestown Rd
Gaithersburg, MD 20878-2205
Phone
(240) 683-6222
Fax
(240) 683-6223
NPI assigned
Dec 20, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. Barry Lebowitz, O.D.NPI 1063463040
Title
Owner
Phone
(240) 683-6222

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 TA1358 MD Primary

Addresses

Primary practice location

12129 Darnestown Rd
Gaithersburg, MD 20878-2205

Mailing address

12129 Darnestown Rd
Gaithersburg, MD 20878-2205
Phone (240) 683-6222

Other identifiers 1

IdentifierTypeStateIssuer
G00879OtherDCMEDICARE GROUP #

Other names 1

  • Potomac Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110131000354 DC Part B Supplier - Clinic/Group Practice 9234318726 Receives reassigned benefits from 1 practitioner
Practice locations: North Potomac, MD

National Provider Directory

National Provider Directory

Locations

12129 Darnestown Rd
Gaithersburg, MD 20878
Phone (240) 683-6222

6400A Ridge Rd
Ste 1
Sykesville, MD 21784
Phone (410) 549-5491

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": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1437333853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12129 DARNESTOWN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782205",
            "telephone_number": "240-683-6222",
            "fax_number": "240-683-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12129 DARNESTOWN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782205",
            "telephone_number": "240-683-6222",
            "fax_number": "240-683-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY M. LEBOWITZ, O.D. , M.P.H. , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "LEBOWITZ",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-683-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "G00879",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.