Organization Active NPI

Ophthalmic Plastic and Orbital Consultants, P.C.

  • Specialist
  • Bethesda, MD
National Provider Identifier
1962560383
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OPHTHALMIC PLASTIC AND ORBITAL CONSULTANTS, P.C.
Practice address
6420 Rockledge Drive
Suite 4300
Bethesda, MD 20817
Phone
(301) 571-0000
Fax
(301) 571-0853
NPI assigned
Dec 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mary Ann Egan
Title
Office Manager
Phone
(301) 571-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

6420 Rockledge Drive
Suite 4300
Bethesda, MD 20817

Mailing address

6420 Rockledge Drive
Suite 4300
Bethesda, MD 20817
Phone (301) 571-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090504000614 VA Part B Supplier - Clinic/Group Practice 6800944646 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, VA
O20100817001063 DC Part B Supplier - Clinic/Group Practice 6800944646 Receives reassigned benefits from 2 practitioners
Practice locations: Greenbelt, MD; Washington, DC; Fairfax, VA; Bethesda, MD

National Provider Directory

National Provider Directory

Locations

7501 Greenway Center Dr
Ste 220
Greenbelt, MD 20770
Phone (240) 965-7358

8501 Arlington Blvd
Ste 420
Fairfax, VA 22031
Phone (703) 207-3065

8503 Arlington Blvd
Ste 130
Fairfax, VA 22031
Phone (703) 846-0097

15195 Heathcote Blvd
Ste 310
Haymarket, VA 20169
Phone (571) 581-1771

46169 Westlake Dr
Ste 240
Sterling, VA 20165
Phone (703) 341-9800

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962560383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 ROCKLEDGE DRIVE",
            "address_2": "SUITE 4300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20817",
            "telephone_number": "301-571-0000",
            "fax_number": "301-571-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 ROCKLEDGE DRIVE",
            "address_2": "SUITE 4300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20817",
            "telephone_number": "301-571-0000",
            "fax_number": "301-571-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC PLASTIC AND ORBITAL CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-571-0000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.