Colonial Opticians of Poolesville Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

15302753 Issued in MD

Legal business name

COLONIAL OPTICIANS OF POOLESVILLE INC.

Doing business as

Colonial Opticians Inc.

Practice address

718 Center Point Way
Gaithersburg, MD 20878-6469

Phone

(301) 990-0398

Fax

(303) 990-9486

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Karen Melissa Williams

Title

President

Phone

(301) 657-3332

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Colonial Opticians Inc. Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Grillo, O.D.

  • Optometrist
  • Rockville, MD
  • NPI 1245337583

  DC

  Medicare reassignment Care Compare group NPD
• Huda Khan, OD

  • Optometrist
  • Silver Spring, MD
  • NPI 1407318280

  DC

  Medicare reassignment Care Compare group NPD
• Dalia Nader Elkassabany, OD

  • Optometrist
  • Washington, DC
  • NPI 1134657885
  Medicare reassignment NPD

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1912164070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 CENTER POINT WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786469",
            "telephone_number": "301-990-0398",
            "fax_number": "303-990-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 CENTER POINT WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786469",
            "telephone_number": "301-990-0398",
            "fax_number": "303-990-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL OPTICIANS OF POOLESVILLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-657-3332"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MD",
            "license": "15302753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OP0914",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OP0914",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gaithersburg",
            "affiliation": "N",
            "address_1": "718 Center Point Way",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208786469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Colonial Opticians Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Damarcus Coleman, LMSW
• Karina Colindres-Bautista
• Katrina Colleton, LCPC
• Kelly Collins
• Page Collymore, D.M.D.
• Kendra Combs
• Comfi-Kare LLC
• Comfort Nursing Care Inc
• Community Angels Nursing Services Inc
• Community Clinic, Inc (CCI Health Services)

• Customized Equipment (DME) in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Customized Equipment (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.