Active NPI
Ophthalmology Associates of Greater Annapolis PA
- Ophthalmology Physician
- Arnold, MD
National Provider Identifier
1952489064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0013809
- Legal business name
- OPHTHALMOLOGY ASSOCIATES OF GREATER ANNAPOLIS PA
- Practice address
- 83 Church Rd
Arnold, MD 21012-2306 - Phone
- (410) 757-2778
- Fax
- (410) 757-0632
- NPI assigned
- Nov 2, 2006
- 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
- Ms. Charlene R Bryant, C.O.T.
- Title
- Ophthalmic Technician
- Phone
- (410) 757-2778
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0013809 | MD | Primary |
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
83 Church Rd
Arnold, MD 21012-2306
Mailing address
83 Church Rd
Arnold, MD 21012-2306
Phone (410) 757-2778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
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 |
|---|---|---|---|
| 21D2096493 | Ophthalmology Associates of Greater Annapolis | Certificate of waiver | May 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Arnold, MD
- NPI 1205846102
-
- Ophthalmology Physician
- Arnold, MD
- NPI 1578534228
-
- Optometrist
- Waldorf, MD
- NPI 1932130945
-
- Ophthalmology Physician
- Arnold, MD
- NPI 1386724334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286928000000",
"number": "1952489064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 CHURCH RD",
"city": "ARNOLD",
"state": "MD",
"postal_code": "210122306",
"telephone_number": "410-757-2778",
"fax_number": "410-757-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 CHURCH RD",
"city": "ARNOLD",
"state": "MD",
"postal_code": "210122306",
"telephone_number": "410-757-2778",
"fax_number": "410-757-0632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMOLOGY ASSOCIATES OF GREATER ANNAPOLIS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2010-10-13",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "CHARLENE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OPHTHALMIC TECHNICIAN",
"authorized_official_telephone_number": "410-757-2778",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "C.O.T."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0013809",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arnold, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.