Eye Care Associates of MD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE ASSOCIATES OF MD, INC

Practice address

1680 Village GRN
Crofton, MD 21114-2014

Phone

(410) 721-5533

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Warren Statman, ABO MBA

Title

Director

Phone

(410) 721-5533

Specialties & licenses 1

Addresses

Other names 1

• Crofton Optical Doing business as

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1619093762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 VILLAGE GRN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142014",
            "telephone_number": "410-721-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 VILLAGE GRN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142014",
            "telephone_number": "410-721-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "STATMAN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-721-5533",
        "authorized_official_credential": "ABO MBA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crofton Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Crofton, MD
• Providers in Crofton, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.