Organization Active NPI

Eye 4 Kids Vision Center

  • Optometrist
  • Owings Mills, MD
National Provider Identifier
1649472549
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1479 Issued in MD
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TA1479 MD Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X TA1479 MD
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X TA1479 MD
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X TA1479 MD
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X TA1479 MD
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070919000427 MD Part B Supplier - Clinic/Group Practice 8628161718 Receives reassigned benefits from 1 practitioner
Practice locations: Owings Mills, MD
O20171116003075 MD DME Supplier - Physician - Optometrist 8628161718 Practice locations: Owings Mills, MD

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Eye 4 Kids Vision Center10461 Mill Run Cir, Owings Mills, MD 21117-5535(410) 581-0505 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jun 1, 2007

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.