M&D Optical

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

M&D OPTICAL

Practice address

501 N Frederick Ave
Gaithersburg, MD 20877-2507

Phone

(301) 926-3933

Fax

(301) 881-2945

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

David M Wanicur, M.D.

Title

Owner

Phone

(301) 770-4310

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1548307309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772507",
            "telephone_number": "301-926-3933",
            "fax_number": "301-881-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772507",
            "telephone_number": "301-926-3933",
            "fax_number": "301-881-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&D OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "WANICUR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-770-4310",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548307309",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Lwanga, DO
• Raynette Lyles, LGPC
• Yvette Lynch
• Jill Kaufman Lyons, LGSW
• Violette M'Cormack
• Xin Ma, M.AC, L.AC
• Suzy Mabiala, CCC-SLP
• Nancy Best Mabie, R.PH.
• Mark Macauley, LGSW
• Roxana Macelaru, MA

• Customized Equipment (DME) in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Customized Equipment (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.