Organization Active NPI

Glaucoma Consultants of Washington

  • Ophthalmology Physician
  • Silver Spring, MD
National Provider Identifier
1407028962
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D53502 Issued in MD
Legal business name
GLAUCOMA CONSULTANTS OF WASHINGTON
Practice address
8630 Fenton St
Suite Plaza#7
Silver Spring, MD 20910-3806
Phone
(240) 804-1234
Fax
(240) 804-1236
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Dr. Sameer Imtiaz Ahmad, M.D.NPI 1326003401
Title
Director
Phone
(240) 804-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X D53502 MD Primary

Addresses

Primary practice location

8630 Fenton St
Suite Plaza#7
Silver Spring, MD 20910-3806

Mailing address

PO Box 651091
Sterling, VA 20165-1091
Phone (240) 804-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081105000239 DC Part B Supplier - Clinic/Group Practice 1153497821 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Centreville, VA; Herndon, VA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Glaucoma Consultants of Washington5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1407028962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651091",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201651091",
            "telephone_number": "240-804-1234",
            "fax_number": "240-804-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST",
            "address_2": "SUITE PLAZA#7",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103806",
            "telephone_number": "240-804-1234",
            "fax_number": "240-804-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA CONSULTANTS OF WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_middle_name": "IMTIAZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-804-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D53502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.