Individual provider Active NPI

Saadia Asma Tariq, O.D

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1558928648
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2683 Issued in MD
Practice address
5601 Eastern Ave Ste 503
Baltimore, MD 21224-2726
Phone
(410) 675-2272
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34221TLG CA
Optometrist 152W00000X TA2683 MD Primary

Addresses

Primary practice location

5601 Eastern Ave Ste 503
Baltimore, MD 21224-2726

Mailing address

221 W Hill St
Baltimore, MD 21230-3655

Other practice location 1

825 Dulaney Valley Rd Ste 3175
Towson, MD 21204-8626
Phone (410) 825-5160

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
I20211111002658 MD Practitioner - Optometry 1759770704 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34221TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of MD, LLC Optometrist CurrentSince Sep 27, 2021 Accepting new patients
Professional Vision Eyecare Inc Optometrist CurrentSince Jun 8, 2024 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

5601 Eastern Ave
Ste 503
Baltimore, MD 21224
Phone (410) 675-2272

9613 Harford Rd
Ste I
Parkville, MD 21234
Phone (410) 665-6200

8109 Harford Rd
Ste G
Parkville, MD 21234

2147 York Rd
Timonium, MD 21093
Phone (410) 252-3100

920 Providence Rd
Ste 100
Towson, MD 21286
Phone (443) 394-8679

Organizations & group practices 3

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1558928648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W HILL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 EASTERN AVE STE 503",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242726",
            "telephone_number": "410-675-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Dulaney Valley Rd Ste 3175",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212048626",
            "country_code": "US",
            "telephone_number": "410-825-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARIQ",
        "first_name": "SAADIA",
        "middle_name": "ASMA",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34221TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.