Active NPI
Wink Eyecare Boutique, LLC
- Optometrist
- Potomac, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WINK EYECARE BOUTIQUE, LLC
- Doing business as
- WINK EYECARE
- Practice address
- 1095 Seven Locks Rd
Potomac, MD 20854-2903 - Phone
- (301) 545-1111
- Fax
- (301) 545-1717
- NPI assigned
- Jul 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rachel B Cohn, OD
- Title
- Owner, Authorized Official
- Phone
- (301) 545-1111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1095 Seven Locks Rd
Potomac, MD 20854-2903
Mailing address
1095 Seven Locks Rd
Potomac, MD 20854-2903
Phone (301) 545-1111
Other names 1
- WINK EYECARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2114013 | Wink Eyecare Boutique | Certificate of waiver | Jun 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
1095 Seven Locks Rd
Potomac, MD 20854
Phone (301) 545-1111
Practitioners & affiliated clinicians
Practitioners 2
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": "1689292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689638400000",
"number": "1952080145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 SEVEN LOCKS RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208542903",
"telephone_number": "301-545-1111",
"fax_number": "301-545-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 SEVEN LOCKS RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208542903",
"telephone_number": "301-545-1111",
"fax_number": "301-545-1717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINK EYECARE BOUTIQUE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-14",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A",
"authorized_official_last_name": "COHN",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "301-545-1111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WINK EYECARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.