Active NPI
Christopher Adam Coleman, O.D.
- Optometrist
- Mount Airy, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1739
- Practice address
- 1517 Ridgeside Dr
Mount Airy, MD 21771-5280 - Phone
- (301) 829-2221
- Fax
- (301) 831-4040
- NPI assigned
- Mar 21, 2006
- Last updated
- Sep 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1739 | MD | Primary |
Addresses
Primary practice location
1517 Ridgeside Dr
Mount Airy, MD 21771-5280
Mailing address
4027 Bunker CT
Mount Airy, MD 21771-4573
Phone (301) 829-2221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10015 Old Columbia Rd
Suite J135
Columbia, MD 21046-1741
Phone (410) 381-1688
1507 S Main St
Mount Airy, MD 21771-5393
Phone (301) 829-2221
5957 Exchange Dr
Suite 114
Eldersburg, MD 21784-9260
Phone (410) 552-7777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Eye Associates, LLC | Optometrist | Current | Accepting new patients |
| Mt. Airy Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Eldersburg Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Four Sight | Past | Accepting new patients |
Locations
10015 Old Columbia Rd
Ste J135
Columbia, MD 21046
Phone (301) 370-0254
5957 Exchange Dr
Ste 114
Eldersburg, MD 21784
Phone (410) 552-7777
1507 S Main St
Mount Airy, MD 21771
Phone (301) 829-2221
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Columbia, MD
- NPI 1467151696
-
- Optometrist
- Mount Airy, MD
- NPI 1497714356
-
- Optometrist
- Eldersburg, MD
- NPI 1598408379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1447219282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4027 BUNKER CT",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217714573",
"telephone_number": "301-829-2221",
"fax_number": "301-831-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 RIDGESIDE DR",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715280",
"telephone_number": "301-829-2221",
"fax_number": "301-831-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "CHRISTOPHER",
"middle_name": "ADAM",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.