NPIMap

Organization Active NPI

Visionary Eyecare Professionals

  • Optometrist
  • Frederick, MD
National Provider Identifier
1609188341
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1970 Issued in MD
Legal business name
VISIONARY EYECARE PROFESSIONALS
Practice address
3540 Sugarloaf Pkwy
Unit D-04
Frederick, MD 21704-7912
Phone
(301) 874-5777
Fax
(301) 874-0497
NPI assigned
Jul 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Authorized official

Name
Dr. Robert L. Gertz, OD
Title
Owner
Phone
(301) 874-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA1970 MD Primary

Addresses

Primary practice location

3540 Sugarloaf Pkwy
Unit D-04
Frederick, MD 21704-7912

Mailing address

3540 Sugarloaf Pkwy
Unit D-04
Frederick, MD 21704-7912
Phone (301) 874-5777

Other names 1

  • V.eye.P. eyecare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1609188341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SUGARLOAF PKWY",
            "address_2": "UNIT D-04",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047912",
            "telephone_number": "301-874-5777",
            "fax_number": "301-874-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SUGARLOAF PKWY",
            "address_2": "UNIT D-04",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047912",
            "telephone_number": "301-874-5777",
            "fax_number": "301-874-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY EYECARE PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "GERTZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-874-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "V.eye.P. eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.