Individual provider Active NPI

Albert Abraham Amar, ABOC

  • Optician
  • Gaithersburg, MD
National Provider Identifier
1578705877
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101003599 Issued in VA
Practice address
600 S Frederick Ave Ste 108
Gaithersburg, MD 20877-1244
Phone
(240) 643-1417
NPI assigned
Apr 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1101003599 VA Primary

Addresses

Primary practice location

600 S Frederick Ave Ste 108
Gaithersburg, MD 20877-1244

Mailing address

600 S Frederick Ave Ste 108
Gaithersburg, MD 20877-1244
Phone (240) 643-1417

Other practice location 1

115 Coral Reef Ter
North Potomac, MD 20878-2977
Phone (240) 765-7051

Other identifiers 1

IdentifierTypeStateIssuer
T2P5AAOtherMDBCBS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address albert@albertoptic.com Direct
Direct Messaging Address albert@albertoptic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1101003599VAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
US Lens Inc PastSince May 16, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1578705877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S FREDERICK AVE STE 108",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771244",
            "telephone_number": "240-643-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S FREDERICK AVE STE 108",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771244",
            "telephone_number": "240-643-1417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Coral Reef Ter",
            "address_purpose": "LOCATION",
            "city": "North Potomac",
            "state": "MD",
            "postal_code": "208782977",
            "country_code": "US",
            "telephone_number": "240-765-7051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMAR",
        "first_name": "ALBERT",
        "middle_name": "ABRAHAM",
        "name_prefix": "Mr.",
        "credential": "ABOC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101003599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "T2P5AA",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "albert@albertoptic.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.Albertoptic.com",
            "address_1": "600 S Frederick Ave Ste 108",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208771244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "albert@albertoptic.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.Albertoptic.com",
            "address_1": "600 S Frederick Ave Ste 108",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208771244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.