Organization Active NPI

Dr Phyllis Strickland & Associates

  • Optometrist
  • Nottingham, MD
National Provider Identifier
1790766434
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1242 Issued in MD
Legal business name
DR PHYLLIS STRICKLAND & ASSOCIATES
Practice address
8200 Perry Hall Blvd
Suite 2158, Lenscrafters
Nottingham, MD 21236-4901
Phone
(410) 931-3050
Fax
(410) 931-8986
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Phyllis Maude Strickland, O.D.
Title
Owner
Phone
(410) 931-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA1242 MD Primary

Addresses

Primary practice location

8200 Perry Hall Blvd
Suite 2158, Lenscrafters
Nottingham, MD 21236-4901

Mailing address

8200 Perry Hall Blvd
Suite 2158, Lenscrafters
Nottingham, MD 21236-4901
Phone (410) 931-3050

Other identifiers 1

IdentifierTypeStateIssuer
TA1242OtherMDSTATE LICENSE #

Other names 1

  • Strickland Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

8200 Perry Hall Blvd
Ste 2158
Nottingham, MD 21236
Phone (410) 931-3050

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1790766434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 PERRY HALL BLVD",
            "address_2": "SUITE 2158, LENSCRAFTERS",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364901",
            "telephone_number": "410-931-3050",
            "fax_number": "410-931-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 PERRY HALL BLVD",
            "address_2": "SUITE 2158, LENSCRAFTERS",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364901",
            "telephone_number": "410-931-3050",
            "fax_number": "410-931-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PHYLLIS STRICKLAND & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "MAUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-931-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "TA1242",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strickland Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.