Eagle Eye Vision Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1176 Issued in MD

Legal business name

EAGLE EYE VISION ASSOCIATES, LLC

Practice address

13830 Outlet Dr
Silver Spring, MD 20904-4970

Phone

(301) 890-9779

Fax

(301) 890-0923

NPI assigned

Oct 6, 2008

Organization subpart

No

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

Authorized official

Name

Scott Klasman, O.D.

Title

Member

Phone

(301) 890-9779

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1730330010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 OUTLET DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044970",
            "telephone_number": "301-890-9779",
            "fax_number": "301-890-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 OUTLET DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044970",
            "telephone_number": "301-890-9779",
            "fax_number": "301-890-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE VISION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "KLASMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-890-9779",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.