NPIMap

Organization Active NPI

Medical Park Optical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Silver Spring, MD
National Provider Identifier
1952489387
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL PARK OPTICAL, LLC
Practice address
2101 Medical Park Dr
Suite 100
Silver Spring, MD 20902-4053
Phone
(301) 681-6600
Fax
(301) 916-9522
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. John G Ladas, M.D.
Title
President
Phone
(301) 681-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MD Primary

Addresses

Primary practice location

2101 Medical Park Dr
Suite 100
Silver Spring, MD 20902-4053

Mailing address

2101 Medical Park Dr
Suite 101
Silver Spring, MD 20902-4053
Phone (301) 681-6600

National Provider Directory

National Provider Directory

Locations

2101 Medical Park Dr
Ste 101
Silver Spring, MD 20902
Phone (301) 681-6600

2101 Medical Park Dr
Ste 100
Silver Spring, MD 20902
Phone (301) 754-0833

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": "1658361600000",
    "number": "1952489387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL PARK DR",
            "address_2": "SUITE 101",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024053",
            "telephone_number": "301-681-6600",
            "fax_number": "301-916-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL PARK DR",
            "address_2": "SUITE 100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024053",
            "telephone_number": "301-681-6600",
            "fax_number": "301-916-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARK OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LADAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-681-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.