NPIMap

Organization Active NPI

David Z. Ephraim, O.D., LLC

  • Optometrist
  • Kensington, MD
National Provider Identifier
1689096497
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2283 Issued in MD
Legal business name
DAVID Z. EPHRAIM, O.D., LLC
Practice address
10518 Connecticut Ave Lowr Level
Kensington, MD 20895-2469
Phone
(301) 942-2221
Fax
(301) 942-6338
NPI assigned
Jan 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
David Zachary Ephraim, O.D.
Title
Sole Member LLC
Phone
(301) 942-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA2283 MD Primary

Addresses

Primary practice location

10518 Connecticut Ave Lowr Level
Kensington, MD 20895-2469

Mailing address

10518 Connecticut Ave Lowr Level
Kensington, MD 20895-2469
Phone (301) 942-2221

National Provider Directory

National Provider Directory

Locations

10518 Connecticut Ave
Lowr
Kensington, MD 20895
Phone (301) 942-2221

10518 Connecticut Ave
Kensington, MD 20895
Phone (301) 942-2221

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1689096497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10518 CONNECTICUT AVE LOWR LEVEL",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952469",
            "telephone_number": "301-942-2221",
            "fax_number": "301-942-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10518 CONNECTICUT AVE LOWR LEVEL",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952469",
            "telephone_number": "301-942-2221",
            "fax_number": "301-942-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID Z. EPHRAIM, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "EPHRAIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ZACHARY",
        "authorized_official_title_or_position": "SOLE MEMBER LLC",
        "authorized_official_telephone_number": "301-942-2221",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.