Chesapeake Bay Optical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

02207819 Issued in MD

Legal business name

CHESAPEAKE BAY OPTICAL

Practice address

2003 Medical Pkwy
Suite G90
Annapolis, MD 21401-7992

Phone

(410) 841-1909

Fax

(410) 571-8624

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arthur Cockran

Title

Optician

Phone

(410) 841-1909

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Chesapeake Bay Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chesapeake Bay Optical LLC

  • Eyewear Supplier
  • Annapolis, MD
  • NPI 1235493396
  NPD tax ID

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487864062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PARKWAY",
            "address_2": "SUITE G90",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-841-1909",
            "fax_number": "410-571-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY",
            "address_2": "SUITE G90",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017992",
            "telephone_number": "410-841-1909",
            "fax_number": "410-571-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE BAY OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCKRAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "410-841-1909"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "02207819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "02207819",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "XY29CH",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kambayanda Savitha Chengappa, MD
• Jordan Mary Cheretis
• Kimberly Dawn Cheri, RN
• Cheryl Fisher Associates, Inc.
• Chesapeake Acupuncture and Healing Arts LLC
• Chesapeake Bay Optical LLC
• Chesapeake Cardiovascular Specialists PC
• Chesapeake Cosmetic and Family Dentistry
• Chesapeake Digestive Associates, LLC
• Chesapeake Digestive Associates, PC

• Durable Medical Equipment & Medical Supplies in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• 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.