Childrens Eye Care LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M32117 Issued in MD

Legal business name

CHILDRENS EYE CARE LLC

Practice address

1011 Frederick Rd
Catonsville, MD 21228-5049

Phone

(410) 744-0400

Fax

(410) 719-6909

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joanne M Waeltermann, MD

Title

Owner

Phone

(410) 744-0400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700835535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285049",
            "telephone_number": "410-744-0400",
            "fax_number": "410-719-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285049",
            "telephone_number": "410-744-0400",
            "fax_number": "410-719-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAELTERMANN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-744-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "M32117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Catonsville, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.