NPIMap

Organization Active NPI

T.D.Annapolis, Inc

Doing business as Thompson Vision Care

  • Optometrist
  • Greenbelt, MD
National Provider Identifier
1639507031
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0900 Issued in MD
Legal business name
T.D.ANNAPOLIS, INC
Doing business as
Thompson Vision Care
Practice address
5900 Greenbelt Rd
Greenbelt, MD 20770-1010
Phone
(301) 982-4200
Fax
(301) 441-1093
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Julie Seybolt
Title
Manager
Phone
(301) 982-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA0900 MD Primary

Addresses

Primary practice location

5900 Greenbelt Rd
Greenbelt, MD 20770-1010

Mailing address

5900 Greenbelt Rd
Greenbelt, MD 20770-1010
Phone (301) 982-4200

Other names 1

  • Thompson Vision Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140520001162 DC Part B Supplier - Clinic/Group Practice 7911120902 Receives reassigned benefits from 2 practitioners
Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory
Tax ID family
TD Annapolis Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5900 Greenbelt Rd
Ste A
Greenbelt, MD 20770
Phone (301) 982-4200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1639507031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 GREENBELT RD",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701010",
            "telephone_number": "301-982-4200",
            "fax_number": "301-441-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 GREENBELT RD",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701010",
            "telephone_number": "301-982-4200",
            "fax_number": "301-441-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.D.ANNAPOLIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "SEYBOLT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-982-4200"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thompson Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.