Individual provider Active NPI

Mayer Joseph Teles, OD

  • Optometrist
  • Pasadena, MD
National Provider Identifier
1659560621
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0974 Issued in MD
Practice address
8028 Ritchie Hwy
Suite 124
Pasadena, MD 21122-1075
Phone
(410) 768-0202
Fax
(410) 768-1330
NPI assigned
Oct 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0974 MD Primary

Addresses

Primary practice location

8028 Ritchie Hwy
Suite 124
Pasadena, MD 21122-1075

Mailing address

8028 Ritchie Hwy
Suite 124
Pasadena, MD 21122-1075
Phone (410) 768-0202

Other identifiers 4

IdentifierTypeStateIssuer
T1680001OtherMDBCBS FEDERAL EMPLOYEES
603673OtherMDAETNA
KEN4LOOtherMDBCBS OF MARYLAND
T1680001OtherMDCAREFIRST BLUECHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001575 MD Practitioner - Optometry 8628038833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8028 Ritchie Hwy
Suite 124
Pasadena, MD 21122-1069
Phone (410) 768-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA0974MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Looking Glass Optical Contacts and Eyeglasses Optometrist CurrentSince Nov 1, 1995 Accepting new patients

Locations

8028 Ritchie Hwy
Ste 124
Pasadena, MD 21122
Phone (410) 768-0202

Interoperability endpoints

  • Direct secure messaging: mayert@lookingglassoptical.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1659560621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY",
            "address_2": "SUITE 124",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221075",
            "telephone_number": "410-768-0202",
            "fax_number": "410-768-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY",
            "address_2": "SUITE 124",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221075",
            "telephone_number": "410-768-0202",
            "fax_number": "410-768-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELES",
        "first_name": "MAYER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL EMPLOYEES",
            "identifier": "T1680001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "603673",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MARYLAND",
            "identifier": "KEN4LO",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "T1680001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.