NPIMap

Organization Active NPI

Peas LLC

  • Pediatric Optometrist
  • Frederick, MD
National Provider Identifier
1740856798
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
Legal business name
PEAS LLC
Practice address
3272 Bennett Creek Ave Unit B
Frederick, MD 21704-7653
Phone
(301) 732-7988
Fax
(301) 732-7881
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Dr. Ashley Wong, ODNPI 1336423185
Title
Optometrist
Phone
(301) 385-2840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X Primary

Addresses

Primary practice location

3272 Bennett Creek Ave Unit B
Frederick, MD 21704-7653

Mailing address

9308 Bishopgate Dr
Frederick, MD 21704-7356
Phone (301) 385-2840

National Provider Directory

National Provider Directory
Tax ID family
Peas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1740856798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 BISHOPGATE DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047356",
            "telephone_number": "301-385-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 BENNETT CREEK AVE UNIT B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047653",
            "telephone_number": "301-732-7988",
            "fax_number": "301-732-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "301-385-2840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.