Myeyedr Optometry of Maryland, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYEYEDR OPTOMETRY OF MARYLAND, LLC

Doing business as

MyEyeDr.

Practice address

7550 Teague Rd Ste 114
Hanover, MD 21076-1339

Phone

(410) 799-8067

Fax

(410) 799-8414

NPI assigned

Feb 25, 2016

Last updated

May 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sue Downes

Title

Secretary

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other names 1

• MyEyeDr. Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

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.

• Marcel W Brooks, O.D.

  • Optometrist
  • Charlotte Hall, MD
  • NPI 1447356084
  NPD
• Nia Ebrahim, OD

  • Optometrist
  • Baltimore, MD
  • NPI 1336982750
  NPD
• John Joseph Hayes, O. D.

  • Optometrist
  • Bel Air, MD
  • NPI 1689641987
  NPD
• Joy Mariah Hines, OD

  • Optometrist
  • Bowie, MD
  • NPI 1649770835
  NPD
• Lauren Knott Stephens, OD

  • Optometrist
  • Havre de Grace, MD
  • NPI 1265638316
  NPD
• Amber Aria, OD

  • Optometrist
  • Coralville, IA
  • NPI 1568610087
  NPD
• Dana Hobi, OD

  • Optometrist
  • Des Plaines, IL
  • NPI 1619590403
  NPD
• Kevin William Mathes, O.D.

  • Optometrist
  • Newtown Square, PA
  • NPI 1831477488
  NPD

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1841650405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 TEAGUE RD STE 114",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761339",
            "telephone_number": "410-799-8067",
            "fax_number": "410-799-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Hanover, MD
• Providers in Hanover, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.