Active NPI
Barry A. Preiss, O.D.
- Optometrist
- Pasadena, MD
National Provider Identifier
1962413609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TAO800
- Practice address
- 8155 E Ritchie Hwy
Pasadena, MD 21122 - Phone
- (410) 544-4441
- Fax
- (410) 544-4765
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TAO800 | MD | Primary |
Addresses
Primary practice location
8155 E Ritchie Hwy
Pasadena, MD 21122
Mailing address
8155 E Ritchie Hwy
Pasadena, MD 21122
Phone (410) 544-4441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X578 | Other | MD | BLUE CROSS/ BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAO800 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katzen Medical Associates, PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1962413609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8155 E RITCHIE HWY",
"city": "PASADENA",
"state": "MD",
"postal_code": "21122",
"telephone_number": "410-544-4441",
"fax_number": "410-544-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8155 E RITCHIE HWY",
"city": "PASADENA",
"state": "MD",
"postal_code": "21122",
"telephone_number": "410-544-4441",
"fax_number": "410-544-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREISS",
"first_name": "BARRY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TAO800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "X578",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.