NPIMap

Organization Active NPI

Mandel Vision Care

  • Optometrist
  • Pikesville, MD
National Provider Identifier
1588337042
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MANDEL VISION CARE
Practice address
305 Reisterstown Rd
Pikesville, MD 21208-5313
Phone
(410) 406-7951
NPI assigned
Jul 29, 2021
Last updated
Jul 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Dr. Alisa Mandel, OD
Title
Optometrist
Phone
(410) 654-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

305 Reisterstown Rd
Pikesville, MD 21208-5313

Mailing address

6820 Williamson Ave
Baltimore, MD 21215-1549
Phone (410) 654-1500

National Provider Directory

National Provider Directory
Tax ID family
Mandel Vision Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1588337042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 WILLIAMSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151549",
            "telephone_number": "410-654-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085313",
            "telephone_number": "410-406-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDEL VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "410-654-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.