Active NPI
Kitsu Eye Care LLC
- Optometrist
- Annapolis, MD
National Provider Identifier
1568056901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- KITSU EYE CARE LLC
- Practice address
- 1009 Bay Ridge Ave
Annapolis, MD 21403-3031 - Phone
- (202) 281-5737
- NPI assigned
- Feb 25, 2021
- 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. Richard Arthur Miller Jr., OD
- Title
- Owner
- Phone
- (443) 339-4584
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
1009 Bay Ridge Ave
Annapolis, MD 21403-3031
Mailing address
1009 Bay Ridge Ave
Annapolis, MD 21403-3031
Phone (202) 281-5737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1009 Bay Ridge Ave
Annapolis, MD 21403
Phone (202) 281-5737
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bowie, MD
- NPI 1265883508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641686400000",
"number": "1568056901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 BAY RIDGE AVE",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214033031",
"telephone_number": "202-281-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 BAY RIDGE AVE",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214033031",
"telephone_number": "202-281-5737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KITSU EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-25",
"last_updated": "2022-01-09",
"certification_date": "2022-01-09",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-339-4584",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2022; 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.