NPIMap

Organization Active NPI

NV Optometry

  • Optometrist
  • Gambrills, MD
National Provider Identifier
1972080869
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2261 Issued in MD
Legal business name
NV OPTOMETRY
Practice address
2626 Brandermill Blvd
Gambrills, MD 21054-1651
Phone
(410) 451-9499
Fax
(301) 261-6584
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Dr. Nishith G Patel, ODNPI 1326327487
Title
Owner/Managing Member
Phone
(240) 643-1056

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA2261 MD Primary

Addresses

Primary practice location

2626 Brandermill Blvd
Gambrills, MD 21054-1651

Mailing address

1623 Grand Meadow Dr
Gambrills, MD 21054-2043
Phone (240) 643-1056

Other practice location 1

217 Main St
Annapolis, MD 21401-2004
Phone (410) 268-6246

Other practice location 2

15511 Annapolis Rd Ste 500
Bowie, MD 20715-3037
Phone (301) 464-4442

Other names 2

  • Peepers of Bowie Doing business as
  • Peepers of Gambrills Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190708002165 MD Part B Supplier - Clinic/Group Practice 1850626276 Receives reassigned benefits from 4 practitioners
Practice locations: Annapolis, MD; Gambrills, MD
O20190715000306 DC Part B Supplier - Clinic/Group Practice 1850626276 Receives reassigned benefits from 4 practitioners
Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Locations

15511 Annapolis Rd
Ste 500
Bowie, MD 20715
Phone (301) 464-4442

6800 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 464-4442

2626 Brandermill Blvd
Gambrills, MD 21054
Phone (410) 451-9499

Practitioners & affiliated clinicians

Practitioners 6

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": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1972080869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 GRAND MEADOW DR",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210542043",
            "telephone_number": "240-643-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 BRANDERMILL BLVD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541651",
            "telephone_number": "410-451-9499",
            "fax_number": "301-261-6584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Main St",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214012004",
            "country_code": "US",
            "telephone_number": "410-268-6246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15511 Annapolis Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207153037",
            "country_code": "US",
            "telephone_number": "301-464-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NV OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NISHITH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "240-643-1056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peepers of Bowie",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peepers of Gambrills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.