NPIMap

Organization Active NPI

Visionmd, LLC

  • Ophthalmology Physician
  • Glenn Dale, MD
National Provider Identifier
1801381884
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VISIONMD, LLC
Practice address
12150 Annapolis Rd Ste 111
Glenn Dale, MD 20769-9183
Phone
(301) 779-0844
Fax
(301) 779-0744
NPI assigned
Jun 22, 2018
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Chirag Patel
Title
Director of Operations
Phone
(301) 779-0844

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

12150 Annapolis Rd Ste 111
Glenn Dale, MD 20769-9183

Mailing address

12150 Annapolis Rd Ste 111
Glenn Dale, MD 20769-9183
Phone (301) 779-0844

Other practice location 1

7305 Baltimore Ave Ste 104
College Park, MD 20740-3232
Phone (301) 779-0844

Other practice location 2

9135 Piscataway Rd Ste 440
Clinton, MD 20735-2555
Phone (301) 779-0844

Other identifiers 1

IdentifierTypeStateIssuer
357327300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314000875 DC Part B Supplier - Clinic/Group Practice 2860732609 Receives reassigned benefits from 6 practitioners
Practice locations: Clinton, MD; Glenn Dale, MD; College Park, MD

National Provider Directory

National Provider Directory
Tax ID family
Visionmd LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7305 Baltimore Ave
Ste 101
College Park, MD 20740
Phone (301) 779-0844

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1801381884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 111",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-779-0844",
            "fax_number": "301-779-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 111",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-779-0844",
            "fax_number": "301-779-0744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7305 Baltimore Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "MD",
            "postal_code": "207403232",
            "country_code": "US",
            "telephone_number": "301-779-0844",
            "fax_number": "301-779-0744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9135 Piscataway Rd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207352555",
            "country_code": "US",
            "telephone_number": "301-779-0844",
            "fax_number": "301-779-0744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISIONMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "301-779-0844"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357327300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.