NPIMap

Organization Active NPI

Allegany Optical LLC

Doing business as Allegany Optical

  • Optometrist
  • Hagerstown, MD
National Provider Identifier
1790927291
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
21328748 Issued in MD
Legal business name
ALLEGANY OPTICAL LLC
Doing business as
Allegany Optical
Practice address
1725 Dual Hwy
Hagerstown, MD 21740-6653
Phone
(301) 739-6573
Fax
(301) 739-6577
NPI assigned
Mar 30, 2009
Last updated
Mar 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Dr. James J Whitelock, O.D.NPI 1770668998
Title
O.D. / Managing Member
Phone
(717) 263-2389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 21328748 MD Primary

Addresses

Primary practice location

1725 Dual Hwy
Hagerstown, MD 21740-6653

Mailing address

1725 Dual Hwy
Hagerstown, MD 21740-6653
Phone (301) 739-6573

Other names 1

  • ALLEGANY OPTICAL Doing business as

National Provider Directory

National Provider Directory

Locations

1725 Dual Hwy
Hagerstown, MD 21740
Phone (301) 739-6573

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1790927291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 DUAL HWY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406653",
            "telephone_number": "301-739-6573",
            "fax_number": "301-739-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 DUAL HWY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406653",
            "telephone_number": "301-739-6573",
            "fax_number": "301-739-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGANY OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "WHITELOCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "O.D. / MANAGING MEMBER",
        "authorized_official_telephone_number": "717-263-2389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "21328748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEGANY OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.