Mary Ellen Padusi

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA0922 Issued in MD

Legal business name

MARY ELLEN PADUSI

Doing business as

M. Eyes

Practice address

4134 E Joppa Rd
Suite 101
Baltimore, MD 21236-2284

Phone

(410) 256-1006

Fax

(410) 256-0088

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ellen Padusi, O.D.NPI 1144310418

Title

Optometrist

Phone

(410) 256-1006

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• M. Eyes Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ellen Padusi, O.D.

  • Optometrist
  • Nottingham, MD
  • NPI 1144310418
  Medicare reassignment NPD Authorized official
• Karen R Fullwood, HIS

  • Hearing Instrument Specialist
  • Nottingham, MD
  • NPI 1366587990
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1144472283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 E JOPPA RD",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362284",
            "telephone_number": "410-256-1006",
            "fax_number": "410-256-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 E JOPPA RD",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362284",
            "telephone_number": "410-256-1006",
            "fax_number": "410-256-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELLEN PADUSI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "PADUSI",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "410-256-1006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "940691",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST/BLUE CROSS & BLUE SHIELD",
            "identifier": "613064-03",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "210360-121",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "50070",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST/BLUE CROSS&BLUE SHIELD",
            "identifier": "613064-02",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M. Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Kelly Marvel, CTRS
• Robert Paul Marvenko, DC
• Marvin B Ngwafon DDS MFS PC
• Marvin McBride Medical Services PC
• Albara Marwa, MD, MPH
• Mary L. Taylor-Ennis, PH.D & Associates, LLC
• Maryam Yasmin Therapy & Consulting, LLC
• Marybird Mobility (Marybird Medical Testing)
• Maryland Acute Medical Services PC
• Maryland and Virginia Phlebology PC (Vein Clinics of America)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.