OrganizationActive
Optical Shop
NPI 1154479657 · Optician · Silver Spring, MD
Provider details
- NPI number
- 1154479657
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Bonny, Office Manager(301) 588-1177
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8630 Fenton St
Suite 123
Silver Spring, MD 20910-3806
Phone: (301) 589-7732
Fax: (301) 589-5245
Street-level locationGet directions
Mailing address
8630 Fenton St
Silver Spring, MD 20910-3806
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2008-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.