Active NPI
Brett Kline
- Optometrist
- Easton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2999
- Practice address
- 405 Marvel CT
Easton, MD 21601-4053 - Phone
- (410) 822-9801
- Fax
- (410) 822-9805
- NPI assigned
- May 2, 2023
- Last updated
- Jun 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | I3-0011467 | DE | |
| Optometrist | 152W00000X | TA2999 | MD | Primary |
Addresses
Primary practice location
405 Marvel CT
Easton, MD 21601-4053
Mailing address
405 Marvel CT
Easton, MD 21601-4053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 Marvel CT
Easton, MD 21601-4053
Phone (410) 822-9801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I3-0011467 | DE | MD | Optometrist |
| TA2999 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
| Zuleika M Ghodsi, MD, PC | Current | Accepting new patients | |
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
Locations
885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861
1301 Bridgeville Hwy
Seaford, DE 19973
Phone (302) 629-9197
401 Marvel Ct
Ste B
Easton, MD 21601
Phone (410) 822-9801
405 Marvel Ct
Easton, MD 21601
Phone (410) 822-9801
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Interoperability endpoints
- brettrkline@delmarvaeye.direct.eyemdemr.com
Organizations & group practices 4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1912696311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MARVEL CT",
"city": "EASTON",
"state": "MD",
"postal_code": "216014053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MARVEL CT",
"city": "EASTON",
"state": "MD",
"postal_code": "216014053",
"telephone_number": "410-822-9801",
"fax_number": "410-822-9805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "BRETT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-02",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DE",
"license": "I3-0011467",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.