NPIMap

Organization Active NPI

Central Maryland Eye Associates

  • Optometrist
  • Frederick, MD
National Provider Identifier
1790225159
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CENTRAL MARYLAND EYE ASSOCIATES
Practice address
5283 Corporate Dr
Suite 201
Frederick, MD 21703-2877
Phone
(301) 662-4545
Fax
(301) 662-4044
NPI assigned
Mar 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Dr. Holly GrossNPI 1164498598
Title
President
Phone
(301) 662-4545

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5283 Corporate Dr
Suite 201
Frederick, MD 21703-2877

Mailing address

5283 Corporate Dr
Suite 201
Frederick, MD 21703-2877
Phone (301) 662-4545

National Provider Directory

National Provider Directory

Locations

5283 Corporate Dr
Ste 201
Frederick, MD 21703
Phone (301) 607-0101

Practitioners & affiliated clinicians

Practitioners 1

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": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1790225159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5283 CORPORATE DR",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032877",
            "telephone_number": "301-662-4545",
            "fax_number": "301-662-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5283 CORPORATE DR",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032877",
            "telephone_number": "301-662-4545",
            "fax_number": "301-662-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MARYLAND EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-662-4545",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "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 Feb 1, 2022; 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.