NPIMap

Organization Active NPI

DRS Ely and Cohen Optometry of Maple Lawn LLC

Doing business as Maple Lawn Eye Care Center

  • Optometrist
  • Fulton, MD
National Provider Identifier
1750720991
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0775 Issued in MD
Legal business name
DRS ELY AND COHEN OPTOMETRY OF MAPLE LAWN LLC
Doing business as
Maple Lawn Eye Care Center
Practice address
7625 Maple Lawn Blvd
Suite 125
Fulton, MD 20759-2565
Phone
(301) 490-2020
Fax
(301) 490-2224
NPI assigned
Jun 20, 2013
Last updated
Jun 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Dr. Sanford Reid Cohen, O.D.
Title
Owner/Optometrist
Phone
(301) 946-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0775 MD Primary

Addresses

Primary practice location

7625 Maple Lawn Blvd
Suite 125
Fulton, MD 20759-2565

Mailing address

7625 Maple Lawn Blvd
Suite 125
Fulton, MD 20759-2565
Phone (301) 490-2020

Other names 1

  • Maple Lawn Eye Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130705000077 MD Part B Supplier - Clinic/Group Practice 3375783871 Receives reassigned benefits from 2 practitioners
Practice locations: Fulton, MD

National Provider Directory

National Provider Directory
Tax ID family
DRS Ely and Cohen Optometry2 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1750720991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD",
            "address_2": "SUITE 125",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592565",
            "telephone_number": "301-490-2020",
            "fax_number": "301-490-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD",
            "address_2": "SUITE 125",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592565",
            "telephone_number": "301-490-2020",
            "fax_number": "301-490-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS ELY AND COHEN OPTOMETRY OF MAPLE LAWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "301-946-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Lawn Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fulton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.