Organization Active NPI

TD-Annapolis Inc

  • Optometrist
  • Annapolis, MD
National Provider Identifier
1770616294
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0900 Issued in MD
Legal business name
TD-ANNAPOLIS INC
Practice address
2331A Forest Dr
Annapolis, MD 21401-3833
Phone
(410) 224-8852
Fax
(410) 224-0871
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Gerald Lee Thompson, O.D.NPI 1831222355
Title
President
Phone
(301) 982-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA0900 MD Primary

Addresses

Primary practice location

2331A Forest Dr
Annapolis, MD 21401-3833

Mailing address

5900 Greenbelt Rd
Greenbelt, MD 20770-1010
Phone (301) 982-4200

National Provider Directory

National Provider Directory
Tax ID family
TD Annapolis Inc2 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.

Locations

2331 Forest Dr
Ste A
Annapolis, MD 21401
Phone (410) 224-8852

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1770616294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 GREENBELT RD",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701010",
            "telephone_number": "301-982-4200",
            "fax_number": "301-441-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331A FOREST DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013833",
            "telephone_number": "410-224-8852",
            "fax_number": "410-224-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD-ANNAPOLIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-982-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.