ANNAPOLIS OPTOMETRY, LLC
NPI 1679717367
Optometrist in Annapolis, MD

Active since April 24, 2009CLIA 21D2306042 · Waiver
1905 TOWNE CENTRE BLVD, SUITE 110, ANNAPOLIS, MD 21401(410) 268-8200(703) 991-0514 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2025, Jan 8, 2025, May 2, 2024 and 3 more (6 updates tracked since 2019).

About Annapolis Optometry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNAPOLIS OPTOMETRY, LLC (NPI 1679717367), doing business as My Eye Dr, is a healthcare organization registered as an optometrist in Annapolis, Maryland and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Sue Downes, Secretary, as its authorized official.

NPPES Registry Identity

NPI1679717367
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameANNAPOLIS OPTOMETRY, LLC
Location Address1905 TOWNE CENTRE BLVD, SUITE 110Annapolis, MD 21401-3594
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Fax(703) 991-0514
Organization SubpartNo
Authorized OfficialSue DownesSecretary · (703) 847-8899
Enumeration DateApril 24, 2009
Last NPPES UpdateFebruary 5, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
NPI 1679717367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1905 TOWNE CENTRE BLVD, Annapolis, MD 21401

Other Names 1

Doing Business AsMy Eye Dr

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2306042

Annapolis Optometry LLC · Annapolis, MD
Active · expires Jun 10, 2028
CLIA Number21D2306042
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorDr. Vincent A. Bertomeu
Laboratory Phone(703) 847-8899
Laboratory LocationAnnapolis Optometry LLC1905 Town Centre Blvd #110, Annapolis, MD 21401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1905 TOWNE CENTRE BLVD
ANNAPOLIS, MD 21401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annapolis Optometry, LLC's NPI number?

The NPI number for Annapolis Optometry, LLC is 1679717367. It was assigned to this organization in the NPPES registry on April 24, 2009. The provider is doing business as My Eye Dr.

Where is Annapolis Optometry, LLC located?

Annapolis Optometry, LLC is located at 1905 Towne Centre Blvd Suite 110, Annapolis, MD 21401. The listed phone number is (410) 268-8200.

What is Annapolis Optometry, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Annapolis Optometry, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2306042) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Annapolis Optometry, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee list Annapolis Optometry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annapolis Optometry, LLC was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.