Amjad Z Ahmad MD SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

AMJAD Z AHMAD MD SC

Practice address

3100 Ogden Ave
Lisle, IL 60532-1603

Phone

(630) 505-8888

Fax

(630) 505-8889

NPI assigned

Oct 23, 2007

Last updated

Jan 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amjad Z. Ahmad, M.D., SCNPI 1952375800

Title

Ceo

Phone

(630) 505-8888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amjad Z Ahmad, M.D.

  • Ophthalmology Physician
  • Lisle, IL
  • NPI 1952375800
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1679762983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321603",
            "telephone_number": "630-505-8888",
            "fax_number": "630-505-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321603",
            "telephone_number": "630-505-8888",
            "fax_number": "630-505-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMJAD Z AHMAD MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-505-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., SC"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Lisle, IL
• Providers in Lisle, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.