Individual provider Active NPI

Iva Nosi, O.D.

  • Optometrist
  • Nottingham, MD
National Provider Identifier
1275763500
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2146 Issued in MD
Practice address
5203 Campbell Blvd
Nottingham, MD 21236-5047
Phone
(443) 290-6055
Fax
(443) 490-6087
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2146 MD Primary

Addresses

Primary practice location

5203 Campbell Blvd
Nottingham, MD 21236-5047

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
0839281-00MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090911000328 MD Practitioner - Optometry 5294880449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Practice addresses (Care Compare)

2936 Festival Way
Suite 409a
Waldorf, MD 20601-2957
Phone (301) 710-6919

5500 Buckeystown Pike
Suite 620
Frederick, MD 21703-9458
Phone (301) 663-4745

6306 /2 York Rd
Baltimore, MD 21212-2635
Phone (443) 863-5206

7810 Wormans Mill Rd
STC C
Frederick, MD 21701-3038
Phone (301) 228-2666

8818 Waltham Woods Rd
Baltimore, MD 21234-2402
Phone (410) 882-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2146MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Canton Crossing Optometry, LLC Optometrist CurrentSince Jan 24, 2018 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 27, 2014 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 27, 2014 Accepting new patients
My Eye Dr. Optometrists, LLC Optometrist Past Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

1905 Towne Centre Blvd
Ste 110
Annapolis, MD 21401
Phone (410) 268-8200

8818 Waltham Woods Rd
Baltimore, MD 21234
Phone (410) 882-2020

3715 Boston St
Baltimore, MD 21224
Phone (443) 839-0335

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

6455 Dobbin Rd
Ste 47
Columbia, MD 21045
Phone (443) 542-5999

1311 Londontown Blvd
Ste 100
Eldersburg, MD 21784
Phone (410) 795-5588

7810 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (301) 228-2666

1809 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 484-6348

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1275763500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 CAMPBELL BLVD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365047",
            "telephone_number": "443-290-6055",
            "fax_number": "443-490-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSI",
        "first_name": "IVA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0839281-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.