NPIMap

Organization Active NPI

T&L Optical Supply Inc.

Doing business as Opti-Care

  • Optician
  • Eldersburg, MD
National Provider Identifier
1588735609
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
T&L OPTICAL SUPPLY INC.
Doing business as
Opti-Care
Practice address
6300 Georgetown Blvd
Suite 121
Eldersburg, MD 21784-6481
Phone
(410) 795-8670
Fax
(410) 795-2680
NPI assigned
Nov 11, 2006
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Michael I. Davis, O.D.NPI 1134290257
Title
Administrator
Phone
(410) 795-8670

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)CodeLicenseStatePrimary
Optician 156FX1800X MD Primary

Addresses

Primary practice location

6300 Georgetown Blvd
Suite 121
Eldersburg, MD 21784-6481

Mailing address

6300 Georgetown Blvd
Suite 121
Eldersburg, MD 21784-6481
Phone (410) 795-8670

Other names 1

  • Opti-Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060419000185 MD Part B Supplier - Clinic/Group Practice 7315956331 Receives reassigned benefits from 2 practitioners
Practice locations: Eldersburg, MD

National Provider Directory

National Provider Directory

Locations

6300 Georgetown Blvd
Ste 121
Sykesville, MD 21784
Phone (410) 795-8670

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1588735609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 GEORGETOWN BLVD",
            "address_2": "SUITE 121",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846481",
            "telephone_number": "410-795-8670",
            "fax_number": "410-795-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 GEORGETOWN BLVD",
            "address_2": "SUITE 121",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846481",
            "telephone_number": "410-795-8670",
            "fax_number": "410-795-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&L OPTICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-795-8670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opti-Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.

Verify at the official NPI Registry.