NPIMap

Organization Active NPI

Longmeadow Optical

  • Optometrist
  • Frederick, MD
National Provider Identifier
1659760098
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10846566 Issued in MD
Legal business name
LONGMEADOW OPTICAL
Practice address
7420 Hayward Rd
Suite 202
Frederick, MD 21702-2507
Phone
(301) 662-8866
Fax
(301) 293-6133
NPI assigned
Jan 22, 2015
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Mark Farbman, O.D.NPI 1952401234
Title
Owner
Phone
(301) 662-8866

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 10846566 MD Primary

Addresses

Primary practice location

7420 Hayward Rd
Suite 202
Frederick, MD 21702-2507

Mailing address

7420 Hayward Rd
Suite 202
Frederick, MD 21702-2507
Phone (301) 662-8866

National Provider Directory

National Provider Directory
Tax ID family
Longmeadow Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7420 Hayward Rd
Ste 202
Frederick, MD 21702
Phone (301) 662-8866

Practitioners & affiliated clinicians

Practitioners 3

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": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1659760098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 HAYWARD RD",
            "address_2": "SUITE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217022507",
            "telephone_number": "301-662-8866",
            "fax_number": "301-293-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 HAYWARD RD",
            "address_2": "SUITE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217022507",
            "telephone_number": "301-662-8866",
            "fax_number": "301-293-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGMEADOW OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "FARBMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-662-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "10846566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.