Active NPI
MD Eyecare LLC
- Ophthalmology Physician
- Towson, MD
National Provider Identifier
1548253040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0022348
- Legal business name
- MD EYECARE LLC
- Practice address
- 8625 Pleasant Plains Rd
Towson, MD 21286-2352 - Phone
- (410) 828-5558
- Fax
- (410) 823-6315
- NPI assigned
- Aug 30, 2005
- 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
- Mr. George W Duncan, M.D.
- Title
- President
- Phone
- (410) 828-5558
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1154 | MD | |
| Optometrist | 152W00000X | TA1021 | MD | |
| Optometrist | 152W00000X | TA1147 | MD | |
| Ophthalmology Physician | 207W00000X | D0022348 | MD | Primary |
Addresses
Primary practice location
8625 Pleasant Plains Rd
Towson, MD 21286-2352
Mailing address
8625 Pleasant Plains Rd
Towson, MD 21286-2352
Phone (410) 828-5558
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018802600 | Medicaid | MD | |
| 407116600 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
1220 E Joppa Rd
#110
Towson, MD 21286
Phone (410) 828-5558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378944000000",
"number": "1548253040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8625 PLEASANT PLAINS RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212862352",
"telephone_number": "410-828-5558",
"fax_number": "410-823-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8625 PLEASANT PLAINS RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212862352",
"telephone_number": "410-828-5558",
"fax_number": "410-823-6315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD EYECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-30",
"last_updated": "2013-09-12",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-828-5558",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MD",
"license": "TA1154",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MD",
"license": "TA1021",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MD",
"license": "TA1147",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0022348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018802600",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407116600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.