NPIMap

Organization Active NPI

Opticalcare

  • Eyewear Supplier
  • Glen Burnie, MD
National Provider Identifier
1952593345
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
N/A
Legal business name
OPTICALCARE
Practice address
300 Hospital Dr
Suite 121
Glen Burnie, MD 21061-6902
Phone
(410) 761-0078
Fax
(410) 760-0353
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Mr. Dennis S Martyn, OPTICIAN
Title
Owner
Phone
(410) 761-0098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X N/A Primary

Addresses

Primary practice location

300 Hospital Dr
Suite 121
Glen Burnie, MD 21061-6902

Mailing address

300 Hospital Dr
Suite 121
Glen Burnie, MD 21061
Phone (410) 761-0078

Other identifiers 1

IdentifierTypeStateIssuer
53281002OtherMDMD PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1952593345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR",
            "address_2": "SUITE 121",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-761-0078",
            "fax_number": "410-761-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR",
            "address_2": "SUITE 121",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616902",
            "telephone_number": "410-761-0078",
            "fax_number": "410-760-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICALCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "MARTYN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-761-0098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD PROVIDER NUMBER",
            "identifier": "53281002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.