Active NPI
Mayer Joseph Teles, OD
- Optometrist
- Pasadena, MD
National Provider Identifier
1659560621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0974
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T1680001 | Other | MD | BCBS FEDERAL EMPLOYEES |
| 603673 | Other | MD | AETNA |
| KEN4LO | Other | MD | BCBS OF MARYLAND |
| T1680001 | Other | MD | CAREFIRST 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| TA0974 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Looking Glass Optical Contacts and Eyeglasses | Optometrist | Current | Accepting new patients |
Locations
8028 Ritchie Hwy
Ste 124
Pasadena, MD 21122
Phone (410) 768-0202
Interoperability endpoints
- 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.
-
- Optometrist
- Pasadena, MD
- NPI 1073660452
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.