Sfam 2020, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SFAM 2020, INC

Practice address

2441 Chillum Rd
Hyattsville, MD 20782-3630

Phone

(301) 605-3508

NPI assigned

Apr 27, 2020

Last updated

Feb 5, 2021By 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

Erica Perez

Title

Director

Phone

(240) 487-6226

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1912528324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 AQUEDUCT RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546209",
            "telephone_number": "301-439-1796",
            "fax_number": "301-439-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 CHILLUM RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823630",
            "telephone_number": "301-605-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFAM 2020, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-487-6226"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.