Jarrettsville Family Eyecare LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TA0769 Issued in MD

Legal business name

JARRETTSVILLE FAMILY EYECARE LLC

Practice address

3718 Norrisville Rd
Ste. a
Jarrettsville, MD 21084-1419

Phone

(410) 557-8800

Fax

(410) 557-2811

NPI assigned

Sep 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jerold M Wassel, O.D.

Title

Owner

Phone

(410) 557-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bridgette Connorton, O.D.

  • Optometrist
  • Jarrettsville, MD
  • NPI 1487087433
  Medicare reassignment NPD

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1497089627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 NORRISVILLE RD",
            "address_2": "STE. A",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841419",
            "telephone_number": "410-557-8800",
            "fax_number": "410-557-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 NORRISVILLE RD",
            "address_2": "STE. A",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841419",
            "telephone_number": "410-557-8800",
            "fax_number": "410-557-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARRETTSVILLE FAMILY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "WASSEL",
        "authorized_official_first_name": "JEROLD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-557-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MD",
            "license": "TA0769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hitchens and Henke, PA
• John Thomas Hitchens, CRNA
• Marvin Howard, CRNA
• Corinne Hummingbird, PTA
• Stephanie Merle James
• Jarrettsville Pharmacy Inc
• Jarrettsville Pharmacy Inc
• Jarrettsville Pharmacy1St LLC
• Jarrettsville Volunteer Fire Co Inc.
• Just-in Home Care LLC

• Eyewear Supplier in Jarrettsville, MD
• Providers in Jarrettsville, MD by specialty
• Eyewear Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.