Active NPI
Mt. Airy Eye Care, LLC
- Optometrist
- Mount Airy, MD
National Provider Identifier
1497714356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MT. AIRY EYE CARE, LLC
- Practice address
- 1507 S Main St
Mount Airy, MD 21771-5393 - Phone
- (301) 829-2221
- Fax
- (301) 831-4040
- NPI assigned
- Mar 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Adam Coleman, OD
- Title
- Owner
- Phone
- (301) 829-2221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1507 S Main St
Mount Airy, MD 21771-5393
Mailing address
1507 S Main St
Mount Airy, MD 21771-5393
Phone (301) 829-2221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD1082 | Other | MD | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Mount Airy, MD
- NPI 1447219282
-
- Optometrist
- Mount Airy, MD
- NPI 1588970743
-
- Optometrist
- Mount Airy, MD
- NPI 1437895745
-
- Optometrist
- Columbia, MD
- NPI 1497950810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684972800000",
"number": "1497714356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 S MAIN ST",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715393",
"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": "1507 S MAIN ST",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715393",
"telephone_number": "301-829-2221",
"fax_number": "301-831-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT. AIRY EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-20",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "ADAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-829-2221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD1082",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.