Organization Active NPI

Dr Keramati & Associates, Inc.

  • Optometrist
  • Columbia, MD
National Provider Identifier
1629115753
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1937 Issued in MD
Legal business name
DR KERAMATI & ASSOCIATES, INC.
Practice address
10300 Little Patuxent Pkwy
Suite 1630 - Columbia Mall
Columbia, MD 21044-3341
Phone
(410) 730-1831
Fax
(410) 730-9860
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Dr. Mehrdad Keramati, O.D.
Title
Owner
Phone
(410) 730-1831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA1937 MD Primary

Addresses

Primary practice location

10300 Little Patuxent Pkwy
Suite 1630 - Columbia Mall
Columbia, MD 21044-3341

Mailing address

10300 Little Patuxent Pkwy
Suite 1630
Columbia, MD 21044-3341
Phone (410) 730-1831

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1629115753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 1630",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443341",
            "telephone_number": "410-730-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 1630 - COLUMBIA MALL",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443341",
            "telephone_number": "410-730-1831",
            "fax_number": "410-730-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KERAMATI & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "KERAMATI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-730-1831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.