Organization Active NPI

MD Eyecare LLC

  • Ophthalmology Physician
  • Towson, MD
National Provider Identifier
1548253040
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0022348 Issued in MD
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

Updated by the provider on Sep 12, 2013

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TA1154 MD
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TA1021 MD
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TA1147 MD
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
018802600MedicaidMD
407116600MedicaidMD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.