Active NPI
Lee David Caplan, O.D.
- Optometrist
- Baltimore, MD
National Provider Identifier
1467535930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0835
- Practice address
- 8134 Liberty Rd
Baltimore, MD 21244-3044 - Phone
- (410) 521-2197
- Fax
- (410) 521-4413
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | TA0835 | MD | Primary |
Addresses
Primary practice location
8134 Liberty Rd
Baltimore, MD 21244-3044
Mailing address
3700 Ashley Way
Owings Mills, MD 21117-1442
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30533 | Other | MD | UNITED HEALTHCARE |
| 8090-0001 | Other | MD | CAREFILRST BC/BS |
| 0122732 | Other | MD | AETNA US HEALTHCARE |
| 11189 | Other | MD | AVESIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080508000384 | MD | Practitioner - Optometry | 7315026853 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA0835 | MD | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1467535930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 ASHLEY WAY",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8134 LIBERTY RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212443044",
"telephone_number": "410-521-2197",
"fax_number": "410-521-4413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPLAN",
"first_name": "LEE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA0835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "30533",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFILRST BC/BS",
"identifier": "8090-0001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "0122732",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "11189",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.