Organization Active NPI

Macquaid Eye Institute

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Hunt Valley, MD
National Provider Identifier
1831621911
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
D00643 Issued in MD
Legal business name
MACQUAID EYE INSTITUTE
Practice address
9 Schilling Rd Ste LL8
Hunt Valley, MD 21031-8605
Phone
(443) 585-8088
Fax
(410) 527-1300
NPI assigned
Mar 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Teresa McDonald
Title
Billing
Phone
(443) 585-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X D00643 MD Primary

Addresses

Primary practice location

9 Schilling Rd Ste LL8
Hunt Valley, MD 21031-8605

Mailing address

9 Schilling Rd Ste LL8
Hunt Valley, MD 21031-8605
Phone (443) 585-8088

Other practice location 1

479 Jumpers Hole Rd Ste 106
Severna Park, MD 21146-1698
Phone (443) 585-8088

Other identifiers 1

IdentifierTypeStateIssuer
010168100MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@macquaideye.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170808002350 MD Part B Supplier - Clinic/Group Practice 0941571038 Receives reassigned benefits from 1 practitioner
Practice locations: Hunt Valley, MD; Severna Park, MD
O20250807001021 FL Part B Supplier - Clinic/Group Practice 0941571038 Receives reassigned benefits from 1 practitioner
Practice locations: Port St Lucie, FL

National Provider Directory

National Provider Directory

Locations

9 Schilling Rd
Ste LL8
Hunt Valley, MD 21031
Phone (410) 653-3020

9 Schilling Rd
Hunt Valley, MD 21031
Phone (410) 527-0280

479 Jumpers Hole Rd
Severna Park, MD 21146
Phone (410) 544-9211

Practitioners & affiliated clinicians

Practitioners 5

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": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1831621911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SCHILLING RD STE LL8",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318605",
            "telephone_number": "443-585-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SCHILLING RD STE LL8",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318605",
            "telephone_number": "443-585-8088",
            "fax_number": "410-527-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "479 Jumpers Hole Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211461698",
            "country_code": "US",
            "telephone_number": "443-585-8088",
            "fax_number": "410-527-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MACQUAID EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "443-585-8088"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D00643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010168100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@macquaideye.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "9 Schilling Rd",
            "city": "Hunt Valley",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210311191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.