NPIMap

Organization Active NPI

Myeyedr Optometry of Maryland, LLC

Doing business as MyEyeDr.

  • Optometrist
  • Laurel, MD
National Provider Identifier
1972900058
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MYEYEDR OPTOMETRY OF MARYLAND, LLC
Doing business as
MyEyeDr.
Practice address
14700 Baltimore Ave Unit 109
Laurel, MD 20707-4878
Phone
(301) 245-3903
Fax
(301) 371-3983
NPI assigned
Dec 4, 2014
Last updated
May 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Sue Healey
Title
Secretary
Phone
(703) 847-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

14700 Baltimore Ave Unit 109
Laurel, MD 20707-4878

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names 1

  • MyEyeDr. 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
O20141024000821 MD Part B Supplier - Clinic/Group Practice 6002037629 Receives reassigned benefits from 247 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Frederick, MD; Hagerstown, MD; Hanover, MD; Havre de Grace, MD; Hunt Valley, MD; La Plata, MD; Laurel, MD; Lexington Park, MD…
O20151102002293 DC Part B Supplier - Clinic/Group Practice 6002037629 Receives reassigned benefits from 181 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bethesda, MD; Silver Spring, MD; Rockville, MD; Potomac, MD; Oxon Hill, MD; Olney, MD; Laurel, MD; Hyattsville, MD…

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

National Provider Directory

National Provider Directory
Tax ID family
Myeye Opto of Mary LLC71 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

4465 Willard Ave
Chevy Chase, MD 20815
Phone (301) 951-3373

9131 Piscataway Rd
Ste 120
Clinton, MD 20735
Phone (301) 866-9505

7305 Baltimore Ave
Ste 202
College Park, MD 20740
Phone (301) 277-2100

6110 Dobbin Rd
Ste A
Columbia, MD 21045
Phone (410) 290-0116

6455 Dobbin Rd
Ste 47
Columbia, MD 21045
Phone (443) 542-5999

28522 Marlboro Ave
Easton, MD 21601
Phone (410) 690-8844

28522 Marlboro Ave
#A
Easton, MD 21601
Phone (410) 690-8844

1311 Londontown Blvd
Ste 100
Eldersburg, MD 21784
Phone (410) 795-5588

3309 Forestville Pl
Forestville, MD 20747
Phone (301) 420-6610

1580 Wesel Blvd
Ste H
Hagerstown, MD 21740
Phone (240) 420-6701

7550 Teague Rd
Hanover, MD 21076
Phone (410) 799-8067

7550 Teague Rd
Ste 114
Hanover, MD 21076
Phone (410) 799-8067

30 Shining Willow Way
#30B
La Plata, MD 20646
Phone (240) 523-4555

12101 Winchester Rd
#102
Lavale, MD 21502
Phone (301) 722-6480

12101 Winchester Rd
Ste 102
Lavale, MD 21502
Phone (301) 722-6480

29015 Three Notch Rd
Unit 6
Mechanicsvlle, MD 20659
Phone (301) 884-4774

7684 Belair Rd
Nottingham, MD 21236
Phone (410) 882-9600

559 Ritchie Hwy
Severna Park, MD 21146
Phone (410) 401-8309

8401 Colesville Rd
Ste 10
Silver Spring, MD 20910
Phone (301) 585-6340

825 Dulaney Valley Rd
Ste 2135
Towson, MD 21204
Phone (410) 296-0289

Practitioners & affiliated clinicians

Practitioners 254

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.

View all 254

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1972900058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 BALTIMORE AVE UNIT 109",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074878",
            "telephone_number": "301-245-3903",
            "fax_number": "301-371-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.