Organization Active NPI

Mobile Eyewear Services LLC

  • Eyewear Supplier
  • Reisterstown, MD
National Provider Identifier
1770915969
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MOBILE EYEWEAR SERVICES LLC
Practice address
4015 Log Trail Way
Reisterstown, MD 21136-1841
Phone
(410) 929-8900
Fax
(410) 363-1979
NPI assigned
Jul 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Melanie Goodman
Title
President
Phone
(410) 929-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

4015 Log Trail Way
Reisterstown, MD 21136-1841

Mailing address

4015 Log Trail Way
Reisterstown, MD 21136-1841
Phone (410) 929-8900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1770915969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 LOG TRAIL WAY",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361841",
            "telephone_number": "410-929-8900",
            "fax_number": "410-363-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 LOG TRAIL WAY",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361841",
            "telephone_number": "410-929-8900",
            "fax_number": "410-363-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE EYEWEAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-929-8900"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.