Mandel Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MANDEL VISION CARE LLC

Practice address

8730 Liberty Rd
Randallstown, MD 21133-4710

Phone

(443) 576-3076

Fax

(667) 401-6130

NPI assigned

Nov 24, 2021

Organization subpart

Yes

Parent organization

MANDEL VISION CARE LLCAs reported in NPPES

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

Authorized official

Name

Alisa Mandel, OD

Title

Optometrist

Phone

(410) 654-1500

Specialties & licenses 1

Addresses

Other names 1

• Mandel Vision Care LLC, 2 Other name

Tax ID family

Mandel Vision Care3 organizations share this tax ID, including this one

Part of

Mandel Vision Care

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mandel Vision Care

  • Optometrist
  • Pikesville, MD
  • NPI 1588337042
  NPD tax ID
• Mandel Vision Care LLC

  • Optometrist
  • Pikesville, MD
  • NPI 1932770906
  NPD tax ID

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1972260909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 WILLIAMSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151549",
            "telephone_number": "410-963-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334710",
            "telephone_number": "443-576-3076",
            "fax_number": "667-401-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDEL VISION CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANDEL VISION CARE LLC",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "410-654-1500",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mandel Vision Care LLC, 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Naseem B Majid, PA-C
• Mohammad S Malik, MD
• Cheryl Denise Manning, M.D.
• Marble Emergency Physicians, LLC
• Jessica Marcelin, PHARM D
• Ade Marcus
• Kathryn Marcus, LGPC

• Optometrist in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.