Pennye Doud & Associates, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1038 Issued in MD

Legal business name

PENNYE DOUD & ASSOCIATES, PC

Doing business as

Annapolis Vision Center

Practice address

130 Holiday CT
Ste 109
Annapolis, MD 21401-7003

Phone

(410) 266-0099

Fax

(410) 266-8629

NPI assigned

Jun 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine D Brown

Title

Manager

Phone

(410) 266-0099

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Annapolis Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 4

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.

• Penelope Stammer Doud, O.D.

  • Optometrist
  • Annapolis, MD
  • NPI 1881632313
  Medicare reassignment
• Vincente Mario Simoncini, OD

  • Corneal and Contact Management Optometrist
  • Annapolis, MD
  • NPI 1265570014
  NPD (past)
• Rose Susel, OD OPTOMETRIST

  • Optometrist
  • Davidsonville, MD
  • NPI 1851446751
  NPD (past)
• George M Sadka, MD

  • Ophthalmology Physician
  • Lock Haven, PA
  • NPI 1508924606
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740483429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOLIDAY CT",
            "address_2": "STE 109",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017003",
            "telephone_number": "410-266-0099",
            "fax_number": "410-266-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOLIDAY CT",
            "address_2": "STE 109",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017003",
            "telephone_number": "410-266-0099",
            "fax_number": "410-266-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYE DOUD & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-266-0099"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "LW79",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annapolis Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary E Penick, LCSW-C
• Katelyn Alexandra Penix
• Stephanie Ann Penkert, OTR/L
• Marcus L Penn, M.D.
• Hope A Pennestri, CRNP
• Penumbra Counseling, LLC
• Kendyl Mahari Peoples
• Jeffrey Percacciante, LMSW
• Stephanie Katherine Perez, MOT, OTR
• Perform4Life, LLC

• Optometrist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Optometrist in Maryland

• 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.
• 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.