Kemp Mill Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1739 Issued in MD

Legal business name

KEMP MILL OPTICAL LLC

Doing business as

Kemp Mill Optical

Practice address

1347 Lamberton Dr
Silver Spring, MD 20902-3415

Phone

(301) 754-1347

Fax

(301) 754-1350

NPI assigned

Dec 28, 2008

Last updated

Feb 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Y. Ly, O.D.NPI 1659412377

Title

Optometrist

Phone

(301) 754-1347

Specialties & licenses 1

Addresses

Other names 1

• Kemp Mill Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Yueh-Mei Ly, O.D.

  • Optometrist
  • Silver Spring, MD
  • NPI 1659412377

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1230422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1952547747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 LAMBERTON DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023415",
            "telephone_number": "301-754-1347",
            "fax_number": "301-754-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 LAMBERTON DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023415",
            "telephone_number": "301-754-1347",
            "fax_number": "301-754-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMP MILL OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-28",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "301-754-1347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kemp Mill Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William E Kelson, DDS
• Jemila Kemal, CRNP
• Sidoline Kembumbara, HHA
• Pamela Amindeh Kemngang, PHARMACIST
• Kemp Mill Dental
• Samantha Kendall, LGMFT
• Kumsa L. Kenenisa
• Marie Pascal Kengni Epse Soh
• Thierry Michel Kengni, HHA
• Aaron E Kenigsberg, MD

• Optometrist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.