Active NPI
Scott Eric Wassel, OD
- Optometrist
- Glen Burnie, MD
National Provider Identifier
1659596617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 873
- Practice address
- 7900 Ritchie Hwy
Marley Station B -101
Glen Burnie, MD 21061-4367 - Phone
- (410) 766-2433
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 873 | MD | Primary |
Addresses
Primary practice location
7900 Ritchie Hwy
Marley Station B -101
Glen Burnie, MD 21061-4367
Mailing address
7900 Ritchie Hwy
Marley Station B -101
Glen Burnie, MD 21061-4367
Phone (410) 766-2433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 873 | MD | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659596617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 RITCHIE HWY",
"address_2": "MARLEY STATION B -101",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614367",
"telephone_number": "410-766-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 RITCHIE HWY",
"address_2": "MARLEY STATION B -101",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614367",
"telephone_number": "410-766-2433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSEL",
"first_name": "SCOTT",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.