NPIMap

Organization Active NPI

Omelio Optical LLC

  • Optometrist
  • Eldersburg, MD
National Provider Identifier
1891136156
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OMELIO OPTICAL LLC
Practice address
6220 Georgetown Blvd
Suite C
Eldersburg, MD 21784-6417
Phone
(410) 236-5032
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Tony Omelio
Title
Owner
Phone
(410) 236-5032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6220 Georgetown Blvd
Suite C
Eldersburg, MD 21784-6417

Mailing address

6220 Georgetown Blvd
Suite C
Eldersburg, MD 21784-6417
Phone (410) 236-5032

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1891136156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 GEORGETOWN BLVD",
            "address_2": "SUITE C",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846417",
            "telephone_number": "410-236-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 GEORGETOWN BLVD",
            "address_2": "SUITE C",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846417",
            "telephone_number": "410-236-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMELIO OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "OMELIO",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-236-5032"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.