NPIMap

Organization Active NPI

Suburban Eye Associates LLC

  • Ophthalmology Physician
  • Greenbelt, MD
National Provider Identifier
1487771630
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0015688 Issued in MD
Legal business name
SUBURBAN EYE ASSOCIATES LLC
Practice address
7500 Hanover Parkway
Suite 101B
Greenbelt, MD 20770
Phone
(301) 982-4565
Fax
(301) 982-4252
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen Melvyn Solomon, MDNPI 1487643144
Title
Owner
Phone
(301) 982-4565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0061149 MD
Ophthalmology Physician 207W00000X D0015688 MD Primary

Addresses

Primary practice location

7500 Hanover Parkway
Suite 101B
Greenbelt, MD 20770

Mailing address

7500 Hanover Parkway
Suite 101B
Greenbelt, MD 20770
Phone (301) 982-4565

Other identifiers 2

IdentifierTypeStateIssuer
1497744205OtherINDIVIDUAL NPI
1487643144OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

7500 Hanover Pkwy
Ste 101B
Greenbelt, MD 20770
Phone (301) 895-4565

7500 Hanover Pkwy
Ste 104
Greenbelt, MD 20770
Phone (301) 220-0672

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487771630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PARKWAY",
            "address_2": "SUITE 101B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-982-4565",
            "fax_number": "301-982-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PARKWAY",
            "address_2": "SUITE 101B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-982-4565",
            "fax_number": "301-982-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MELVYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-982-4565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0061149",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0015688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1497744205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1487643144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.