Annapolis Optometry, LLC

Key facts

NPI

1679717367

Entity type

Organization (NPI type 2)

Primary specialty

Optometrist 152W00000X

Legal business name

ANNAPOLIS OPTOMETRY, LLC

Practice address

1905 Towne Centre Blvd
Suite 110
Annapolis, MD 21401-3594

Phone

(410) 268-8200

Fax

(703) 991-0514

NPI assigned

Apr 24, 2009

Organization subpart

No

Authorized official

Name

Sue Downes

Title

Secretary

Phone

(703) 847-8899

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• My Eye Dr Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 5, 2025.

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1679717367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 TOWNE CENTRE BLVD",
            "address_2": "SUITE 110",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013594",
            "telephone_number": "410-268-8200",
            "fax_number": "703-991-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eye Dr",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Eye Dr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Annapolis, MD · Optometrist in Maryland