Individual provider Active NPI

Christopher Adam Coleman, O.D.

  • Optometrist
  • Mount Airy, MD
National Provider Identifier
1447219282
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1739 Issued in MD
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050125000801 MD Practitioner - Optometry 6901856251 Reassigns benefits to 3 organizations

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
Columbia Eye Associates LLCGroup PAC ID 1052786696, 3 clinicians
Mt. Airy Eye Care, LLCGroup PAC ID 4880644301, 4 clinicians
Eldersburg Eye Care LLCGroup PAC ID 0143602425, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Columbia Eye Associates, LLC Optometrist CurrentSince Feb 13, 2023 Accepting new patients
Mt. Airy Eye Care, LLC Optometrist CurrentSince Sep 1, 2004 Accepting new patients
Eldersburg Eye Care, LLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Four Sight PastSince Feb 13, 2023 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.

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

Verify at the official NPI Registry.