Active NPI
Eye 4 Kids Vision Center
- Optometrist
- Owings Mills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1479
- Legal business name
- EYE 4 KIDS VISION CENTER
- Practice address
- 10461 Mill Run Cir Ste 100
Owings Mills, MD 21117-5535 - Phone
- (410) 581-0505
- Fax
- (410) 581-0580
- NPI assigned
- Jun 3, 2007
- Last updated
- Nov 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jodie S Schwartz
- Title
- Office Manager
- Phone
- (410) 581-0505
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1479 | MD | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | TA1479 | MD | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | TA1479 | MD | |
| Pediatric Optometrist | 152WP0200X | TA1479 | MD | |
| Sports Vision Optometrist | 152WS0006X | TA1479 | MD | |
| Occupational Vision Optometrist | 152WX0102X | TA1479 | MD |
Addresses
Primary practice location
10461 Mill Run Cir Ste 100
Owings Mills, MD 21117-5535
Mailing address
10461 Mill Run Cir Ste 100
Owings Mills, MD 21117-5535
Phone (410) 581-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Eye 4 Kids Vision Center | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
10085 Red Run Blvd
Ste 107
Owings Mills, MD 21117
Phone (410) 581-0505
10461 Mill Run Cir
Owings Mills, MD 21117
10461 Mill Run Cir
Ste 100
Owings Mills, MD 21117
Phone (410) 581-0505
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- Owings Mills, MD
- NPI 1720091408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510012800000",
"number": "1649472549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10461 MILL RUN CIR STE 100",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175535",
"telephone_number": "410-581-0505",
"fax_number": "410-581-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10461 MILL RUN CIR STE 100",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175535",
"telephone_number": "410-581-0505",
"fax_number": "410-581-0580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE 4 KIDS VISION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-03",
"last_updated": "2017-11-07",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "JODIE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "410-581-0505",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MD",
"license": "TA1479",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MD",
"license": "TA1479",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "MD",
"license": "TA1479",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "MD",
"license": "TA1479",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": "MD",
"license": "TA1479",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": "MD",
"license": "TA1479",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.