Organization Active NPI

Maryland Vision Center, P.a.

  • Cornea and External Diseases Specialist Physician
  • Frederick, MD
National Provider Identifier
1922836402
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
Legal business name
MARYLAND VISION CENTER, P.A.
Practice address
5205 Chairmans CT Ste 202
Frederick, MD 21703-2918
Phone
(240) 575-9580
Fax
(240) 457-4939
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Mrs. Jayme Marie Sutton Hendry, MBA, MHA
Title
Administrator
Phone
(240) 575-9580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0120X Primary

Addresses

Primary practice location

5205 Chairmans CT Ste 202
Frederick, MD 21703-2918

Mailing address

5205 Chairmans CT Ste 202
Frederick, MD 21703-2918
Phone (240) 575-9580

Other practice location 1

1003 W 7th St Ste 400
Frederick, MD 21701-8532
Phone (240) 575-9580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121106000576 MD Part B Supplier - Clinic/Group Practice 4183875826 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Frederick, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

195 Thomas Johnson Dr
Ste B
Frederick, MD 21702
Phone (240) 575-9580

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1922836402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 CHAIRMANS CT STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032918",
            "telephone_number": "240-575-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 CHAIRMANS CT STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032918",
            "telephone_number": "240-575-9580",
            "fax_number": "240-457-4939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 W 7th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217018532",
            "country_code": "US",
            "telephone_number": "240-575-9580",
            "fax_number": "240-457-4939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYLAND VISION CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "SUTTON HENDRY",
        "authorized_official_first_name": "JAYME",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-575-9580",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA, MHA"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.