Organization Active NPI

Optic Ivy

  • Optometrist
  • Westminster, MD
National Provider Identifier
1063690485
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1836 Issued in MD
Legal business name
OPTIC IVY
Practice address
405 N Center St
Westminster, MD 21157-5119
Phone
(410) 857-3734
Fax
(410) 857-9043
NPI assigned
Feb 7, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Mrs. Pnina Schwartz, R.N.
Title
Office Manager
Phone
(410) 857-3734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1836 MD Primary

Addresses

Primary practice location

405 N Center St
Westminster, MD 21157-5119

Mailing address

405 N Center St
Westminster, MD 21157-5119
Phone (410) 857-3734

National Provider Directory

National Provider Directory

Locations

405 N Center St
Ste 23A
Westminster, MD 21157
Phone (410) 857-3734

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1063690485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N CENTER ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575119",
            "telephone_number": "410-857-3734",
            "fax_number": "410-857-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N CENTER ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575119",
            "telephone_number": "410-857-3734",
            "fax_number": "410-857-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIC IVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "PNINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-857-3734",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.