Metropolitan Pediatric Ophthalmology LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D64157 Issued in MD

Legal business name

METROPOLITAN PEDIATRIC OPHTHALMOLOGY LLC

Practice address

12200 Annapolis Rd
Suite 116
Glenn Dale, MD 20769-9182

Phone

(301) 464-7935

Fax

(301) 464-3742

NPI assigned

Mar 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Janine N. Smith-Marshall, M.D.NPI 1164406112

Title

Sole Proprietor

Phone

(301) 464-7935

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janine N. Smith-Marshall, M.D.

  • Ophthalmology Physician
  • Bowie, MD
  • NPI 1164406112

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1299974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299974400000",
    "number": "1821396961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 BUCHANAN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114727",
            "telephone_number": "301-464-7935",
            "fax_number": "301-464-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD",
            "address_2": "SUITE 116",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-464-7935",
            "fax_number": "301-464-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN PEDIATRIC OPHTHALMOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-13",
        "last_updated": "2011-03-13",
        "status": "A",
        "authorized_official_last_name": "SMITH-MARSHALL",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "301-464-7935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D64157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor McGuire, PA-C
• Althea Caressa McMorris
• Medtech Enginuity Corp.
• Elizabeth Mensah
• Metropolitan Cardiovascular Diagnostics Inc
• Mettled Minds LLC
• Robert E Metzger Jr., DPT
• Maryn Mi-Reka
• Mindfullyou LLC
• Kelvin L Mitchell, LCSW-C

• Ophthalmology Physician in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2011; 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.