Siri Premier Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SIRI PREMIER EYECARE

Practice address

724 Cambridge Marketplace Blvd
Cambridge, MD 21613

Phone

(240) 486-0335

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Eleanor Siri, ODNPI 1326397555

Title

Optometrist

Phone

(240) 486-0335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

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.

• Eleanor Siri, OD

  • Optometrist
  • Cambridge, MD
  • NPI 1326397555
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1750987244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9566 WEDGE WAY",
            "city": "DELMAR",
            "state": "MD",
            "postal_code": "218752378",
            "telephone_number": "240-486-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 CAMBRIDGE MARKETPLACE BLVD",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "21613",
            "telephone_number": "240-486-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRI PREMIER EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "SIRI",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "240-486-0335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shore Resolutions LLC
• Sightrite Medical MD LLC
• Lori Jean Simmerson, PT
• Amy Elizabeth Simmons, ATC, LAT
• Wendy Hare Simpson, LCSW-C
• Eleanor Siri, OD
• Taylor Smith, LCSW-C
• Surinderpal Sodhi, M.D.
• Jacqueline Sorrells, LGPC
• Kassidy Jan Spencer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.