Organization Active NPI

GMS Medical Eye Center, LLC

Doing business as The Medical Eye Center

  • Ophthalmology Physician
  • Germantown, MD
National Provider Identifier
1689761801
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
21033 Issued in WV
Legal business name
GMS MEDICAL EYE CENTER, LLC
Doing business as
The Medical Eye Center
Practice address
19719 Executive Park Cir
Germantown, MD 20874-2639
Phone
(301) 528-4500
NPI assigned
Oct 8, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Gagan J Singh, M.D.NPI 1881651743
Title
Managing Partner
Phone
(301) 528-4500

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 21033 WV Primary

Addresses

Primary practice location

19719 Executive Park Cir
Germantown, MD 20874-2639

Mailing address

420 Randolph St
Martinsburg, WV 25401-2888
Phone (304) 725-2121

Other names 1

  • The Medical Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040224000789 WV Part B Supplier - Clinic/Group Practice 3476449752 Receives reassigned benefits from 2 practitioners
Practice locations: Charles Town, WV
O20070223000096 DC Part B Supplier - Clinic/Group Practice 3476449752 Receives reassigned benefits from 2 practitioners
Practice locations: Germantown, MD
O20230105001717 MD Part B Supplier - Clinic/Group Practice 3476449752 Receives reassigned benefits from 2 practitioners
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

12800 Middlebrook Rd
Ste 102
Germantown, MD 20874
Phone (301) 528-4500

710 Somerset Blvd
Ste 101
Charles Town, WV 25414
Phone (304) 725-2121

420 Randolph St
Martinsburg, WV 25401
Phone (304) 263-2220

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": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1689761801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 RANDOLPH ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012888",
            "telephone_number": "304-725-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19719 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742639",
            "telephone_number": "301-528-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMS MEDICAL EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "GAGAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "301-528-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "21033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.