NPIMap

Individual provider Active NPI

Aarthi R Jude, O.D.

  • Optometrist
  • Havre de Grace, MD
National Provider Identifier
1427473339
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2401 Issued in MD
Practice address
901 Quarry Rd
10
Havre de Grace, MD 21078-2335
Phone
(410) 642-2411
NPI assigned
Feb 28, 2014
Last updated
Feb 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2401 MD Primary

Addresses

Primary practice location

901 Quarry Rd
10
Havre de Grace, MD 21078-2335

Mailing address

901 Quarry Rd
10
Havre de Grace, MD 21078-2335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150430001196 TX Practitioner - Optometry 6608195383 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ton San Xavier Health CenterGroup PAC ID 6608819339, 23 clinicians
Ton Sells HospitalGroup PAC ID 5092768663, 51 clinicians

Practice addresses (Care Compare)

7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone (520) 547-8142

Highway 86 at Topawa Rd
Sells Indian Hospital
Sells, AZ 85634
Phone (520) 383-7285

Hwy 86 and Topawa Rd
Sells, AZ 85634

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2401MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ton Santa Rosa Health Center CurrentSince Mar 25, 2015 Accepting new patients
Ton San Simon Health Center CurrentSince Mar 25, 2015 Accepting new patients
Ton Sells Hospital CurrentSince Mar 25, 2015 Accepting new patients
Ton San Xavier Health Center CurrentSince Mar 25, 2015 Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1427473339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 QUARRY RD",
            "address_2": "10",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 QUARRY RD",
            "address_2": "10",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782335",
            "telephone_number": "410-642-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDE",
        "first_name": "AARTHI",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.