Jeffrey P. Mainolfi,O.D.,Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA 1370 Issued in MD

Legal business name

JEFFREY P. MAINOLFI,O.D.,INC.

Practice address

1000 E Pulaski Hwy
Vision Center
Elkton, MD 21921-6306

Phone

(410) 620-5251

Fax

(410) 620-5307

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Jeffrey P Mainolfi, ODNPI 1528161494

Title

Sole Proprietor

Phone

(410) 937-1124

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffrey P Mainolfi, O.D.

  • Optometrist
  • Elkton, MD
  • NPI 1528161494
  NPD Authorized official

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1952540676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PULASKI HWY",
            "address_2": "VISION CENTER",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216306",
            "telephone_number": "410-620-5251",
            "fax_number": "410-620-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PULASKI HWY",
            "address_2": "VISION CENTER",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216306",
            "telephone_number": "410-620-5251",
            "fax_number": "410-620-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY P. MAINOLFI,O.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "MAINOLFI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLE  PROPRIETOR",
        "authorized_official_telephone_number": "410-937-1124",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA 1370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelvin Glenn Bergonia Ison, CRNP
• Betty Jackson, LGSW
• Urooj Jaferi, MD
• Jessica Janusz-Grimes, LCSW-C
• Jason Chrystal LLC
• Kelly Lynn Jenkins, CRNP-FAMILY
• Andrew Eliot Jenness, MS CCC-SLP
• John Klaus, D.P.M.
• John R. Mulvey M.D., P.a.
• Alison Johnson

• Optometrist in Elkton, MD
• Providers in Elkton, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.