Penelope Stammer Doud, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1038 Issued in MD

Practice address

130 Holiday CT
Suite 109
Annapolis, MD 21401-7003

Phone

(410) 266-0099

Fax

(410) 266-8629

NPI assigned

Jun 4, 2006

Last updated

Sep 5, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Pennye Doud & Associates, PC

  dba Annapolis Vision Center

  • Optometrist
  • Annapolis, MD
  • NPI 1740483429
  Medicare reassignment
• PSM Inc.

  dba Professional Eye Care Center

  • Optometrist
  • Greenbelt, MD
  • NPI 1538208277
  NPD (past)
• Susquehanna Eye Associates LLC

  • Ophthalmology Physician
  • Lock Haven, PA
  • NPI 1881752954

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1881632313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOLIDAY CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017003",
            "telephone_number": "410-266-0099",
            "fax_number": "410-266-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOLIDAY CT",
            "address_2": "SUITE 109",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017003",
            "telephone_number": "410-266-0099",
            "fax_number": "410-266-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUD",
        "first_name": "PENELOPE",
        "middle_name": "STAMMER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5851409",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "61045001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "F038",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3019295",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TA1038",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE/MDIPA",
            "identifier": "313067",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Donnelly
• Kastle Francis Donovan, NP
• Gregorio Tercero Dorado
• Sally Anne Dorman, PSY. D.
• Jill Elizabeth Dorsey Greene, RDH
• Jacqueline Kathleen Douglas, PHD
• Kiane Angelique Douglas, MD
• Storm Julisa Douglas
• Abisha Sultana Dowla, DO
• Doyle & Taylor Physical Therapy, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.