Organization Active NPI

Vincente M. Simoncini, OD PC

  • Corneal and Contact Management Optometrist
  • Annapolis, MD
National Provider Identifier
1962651729
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
TA 1018 Issued in MD
Legal business name
VINCENTE M. SIMONCINI, OD PC
Practice address
820 Bestgate Rd
Suite 1C
Annapolis, MD 21401-3404
Phone
(410) 266-0001
Fax
(410) 266-3988
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Dr. Vincente Mario Simoncini, O.D.NPI 1265570014
Title
Owner
Phone
(410) 266-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X TA 1018 MD Primary

Addresses

Primary practice location

820 Bestgate Rd
Suite 1C
Annapolis, MD 21401-3404

Mailing address

820 Bestgate Rd
Suite 1C
Annapolis, MD 21401-3404
Phone (410) 266-0001

Other names 1

  • Anne Arundel Family Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090831000024 MD Part B Supplier - Clinic/Group Practice 9032264999 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

820 Bestgate Rd
Ste 1C
Annapolis, MD 21401
Phone (410) 266-0001

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1962651729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 BESTGATE RD",
            "address_2": "SUITE 1C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013404",
            "telephone_number": "410-266-0001",
            "fax_number": "410-266-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BESTGATE RD",
            "address_2": "SUITE 1C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013404",
            "telephone_number": "410-266-0001",
            "fax_number": "410-266-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENTE M. SIMONCINI, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "SIMONCINI",
        "authorized_official_first_name": "VINCENTE",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-266-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA 1018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne Arundel Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.