Individual provider Active NPI

Nancy Clare Cooper-Gregory, O.D.

  • Optometrist
  • Eldersburg, MD
National Provider Identifier
1932283579
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1022 Issued in MD
Practice address
1311 Londontown Blvd Ste 100
Eldersburg, MD 21784-7074
Phone
(410) 795-5588
Fax
(410) 795-5648
NPI assigned
Oct 24, 2006
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1022 MD Primary

Addresses

Primary practice location

1311 Londontown Blvd Ste 100
Eldersburg, MD 21784-7074

Mailing address

5716 Whistling Winds Walk
Clarksville, MD 21029-1662
Phone (443) 535-0828

Other practice location 1

20940 Frederick Rd
Germantown, MD 20876-4103
Phone (240) 361-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120928000011 DC Practitioner - Optometry 5092964478 Reassigns benefits to 1 organization
I20150401000227 MD Practitioner - Optometry 5092964478 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Practice addresses (Care Compare)

118 S Shawan Rd
Hunt Valley, MD 21030-1318
Phone (410) 584-8224

18111 Town Ctr Dr
Olney, MD 20832-1479
Phone (301) 570-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1022MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Canton Crossing Optometry, LLC Optometrist CurrentSince Feb 17, 2015 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Dec 16, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Feb 17, 2015 Accepting new patients
Stephen C. Flemke,O.D.,P.a. Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Feb 17, 2015 Accepting new patients
My Eye Dr. Optometrists, LLC Optometrist Past Accepting new patients

Locations

1905 Towne Centre Blvd
Ste 110
Annapolis, MD 21401
Phone (410) 268-8200

3715 Boston St
Baltimore, MD 21224
Phone (443) 839-0335

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210

6030 Daybreak Cir
Ste A550
Clarksville, MD 21029
Phone (410) 531-7920

10255 York Rd
Cockeysville, MD 21030
Phone (410) 666-0610

6455 Dobbin Rd
Ste 47
Columbia, MD 21045
Phone (443) 542-5999

1311 Londontown Blvd
Ste 100
Eldersburg, MD 21784
Phone (410) 795-5588

7810 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (301) 228-2666

80 Market St
Gaithersburg, MD 20878
Phone (301) 990-1122

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

20946 Frederick Rd
Unit A
Germantown, MD 20876
Phone (240) 361-9600

7550 Teague Rd
Ste 114
Hanover, MD 21076
Phone (410) 799-8067

118 Shawan Rd
Hunt Valley, MD 21030
Phone (410) 527-1948

118 Shawan Rd
Ste S
Hunt Valley, MD 21030
Phone (410) 584-8224

18111 Town Center Dr
Olney, MD 20832
Phone (301) 570-1600

1809 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 484-6348

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

625 Baltimore Blvd
Ste K
Westminster, MD 21157
Phone (410) 848-5422

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1932283579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 WHISTLING WINDS WALK",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291662",
            "telephone_number": "443-535-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 LONDONTOWN BLVD STE 100",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217847074",
            "telephone_number": "410-795-5588",
            "fax_number": "410-795-5648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20940 Frederick Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764103",
            "country_code": "US",
            "telephone_number": "240-361-9600",
            "fax_number": "240-361-9605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER-GREGORY",
        "first_name": "NANCY",
        "middle_name": "CLARE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

Verify at the official NPI Registry.