Thomas Azman, O.D.
Individual provider Active NPI Optometrist · Timonium, MD
NPI 1235205378 · NPPES record last updated Feb 17, 2009
Key facts
- NPI
- 1235205378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 678 (MD)
- Practice address
- 2219 York Rd
Suite 101
Timonium, MD 21093-3139 - Phone
- (410) 561-8050
- Fax
- (410) 561-8055
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 678 | MD | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 678 | MD | Yes |
Addresses
Primary practice location
2219 York Rd
Suite 101
Timonium, MD 21093-3139
Mailing address
2219 York Rd Ste 101
Timonium, MD 21093-3140
Phone (410) 561-8050
Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.