Active NPI
Visionary Eyecare Professionals
- Optometrist
- Clarksburg, MD
National Provider Identifier
1649946278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VISIONARY EYECARE PROFESSIONALS
- Practice address
- 22610 Newcut Rd Ste E4A
Clarksburg, MD 20871-5332 - Phone
- (301) 874-5777
- NPI assigned
- Aug 23, 2021
- 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
- Dr. Robert Gertz, OD
- Title
- Doctor
- Phone
- (301) 874-5777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
22610 Newcut Rd Ste E4A
Clarksburg, MD 20871-5332
Mailing address
22610 Newcut Rd Ste E4A
Clarksburg, MD 20871-5332
Phone (301) 874-5777
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Urbana, MD
- NPI 1023158193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629676800000",
"number": "1649946278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22610 NEWCUT RD STE E4A",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208715332",
"telephone_number": "301-874-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22610 NEWCUT RD STE E4A",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208715332",
"telephone_number": "301-874-5777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISIONARY EYECARE PROFESSIONALS",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-23",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A",
"authorized_official_last_name": "GERTZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "301-874-5777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksburg, MD
- Patricia J. Tucker, MSW
- Rosana Claudia Turek de Valeri, M.AC., L.AC
- Unified Resource Coordination Inc.
- Jen Unruh, CNS, LDN
- Sherryl Vanlare, MS, CNS
- VR Dietitian & Nutrition Consulting LLC
- Michael David Wagner, MS, RN, CNP, PMHNPBC
- Latascha Patrice Washington, LCSW-C
- Joseph Peter Wilson, L.C.S.W.-C.
- Daniel Woldetensay
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.