NPIMap

Individual provider Active NPI

Richard Bradley Fuss, O.D.

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1689639528
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1167 Issued in MD
Practice address
5006 Sinclair LN
Baltimore, MD 21206-5936
Phone
(410) 488-6800
Fax
(410) 488-4270
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1167 MD Primary
Corneal and Contact Management Optometrist 152WC0802X TA1167 MD
Pediatric Optometrist 152WP0200X TA1167 MD
Sports Vision Optometrist 152WS0006X TA1167 MD

Addresses

Primary practice location

5006 Sinclair LN
Baltimore, MD 21206-5936

Mailing address

12615 Waterspout CT
Owings Mills, MD 21117-1024
Phone (410) 356-9291

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Optical Co LTD Optometrist Past Accepting new patients
Penn Optical Co LTD Optometrist Past Accepting new patients
Penn Optical Co. LTD Optometrist Past Accepting new patients
Penn Optical Co LTD Optometrist Past Accepting new patients
Penn Optical Co LTD Optometrist Past Accepting new patients
Penn Optical Co LTD Optometrist Past Accepting new patients
Penn Optical Co LTD Optometrist Past Accepting new patients
Penn Optical Co LTD Optometrist Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1689639528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12615 WATERSPOUT CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171024",
            "telephone_number": "410-356-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 SINCLAIR LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065936",
            "telephone_number": "410-488-6800",
            "fax_number": "410-488-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSS",
        "first_name": "RICHARD",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1167",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA1167",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MD",
            "license": "TA1167",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MD",
            "license": "TA1167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.