Individual provider Active NPI

Marcie Miller Lerner, O.D.

  • Optometrist
  • Bethesda, MD
National Provider Identifier
1841241395
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1352 Issued in MD
Practice address
7101 Wisconsin Ave Ste 112
Bethesda, MD 20814-4805
Phone
(301) 913-0293
Fax
(301) 913-9264
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1352 MD Primary

Addresses

Primary practice location

7101 Wisconsin Ave Ste 112
Bethesda, MD 20814-4805

Mailing address

9700 Nordstrom CT
Montgomery Village, MD 20886-1344
Phone (301) 913-0293

Other identifiers 1

IdentifierTypeStateIssuer
082519100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000209 DC Practitioner - Optometry 7719934470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7101 Wisconsin Ave
Suite 112
Bethesda, MD 20814-4805
Phone (301) 913-0293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1841241395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 NORDSTROM CT",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861344",
            "telephone_number": "301-913-0293",
            "fax_number": "301-913-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 WISCONSIN AVE STE 112",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144805",
            "telephone_number": "301-913-0293",
            "fax_number": "301-913-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "MARCIE",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082519100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.