Organization Active NPI

Appelbaum Eyecare Associates

  • Vision Therapy Optometrist
  • Bethesda, MD
National Provider Identifier
1679971014
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
TA0660 Issued in MD
Legal business name
APPELBAUM EYECARE ASSOCIATES
Practice address
6509 Democracy Blvd
Bethesda, MD 20817-1639
Phone
(301) 897-8484
NPI assigned
Dec 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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

Authorized official

Name
Dr. Stan Appelbaum, OD
Title
President
Phone
(301) 897-8484

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X TA0660 MD Primary
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X TA2139 MD
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 01197 MD

Addresses

Primary practice location

6509 Democracy Blvd
Bethesda, MD 20817-1639

Mailing address

6509 Democracy Blvd
Bethesda, MD 20817-1639
Phone (301) 897-8484

Other identifiers 4

IdentifierTypeStateIssuer
1699847897OtherMDNPI NUMBER
632708029OtherMDNPI NUMBER
176220OtherMDMEDICARE PTAN
1568538874OtherMDNPI NUMBER

National Provider Directory

National Provider Directory

Locations

6509 Democracy Blvd
Bethesda, MD 20817
Phone (301) 897-5210

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1679971014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 DEMOCRACY BLVD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171639",
            "telephone_number": "301-897-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 DEMOCRACY BLVD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171639",
            "telephone_number": "301-897-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPELBAUM EYECARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "APPELBAUM",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-897-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "MD",
            "license": "TA0660",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "MD",
            "license": "TA2139",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "01197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1699847897",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "632708029",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "176220",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1568538874",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.