Baldwin Park Eye Care PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BALDWIN PARK EYE CARE PA

Practice address

4829 New Broad St
Orlando, FL 32814-6629

Phone

(407) 979-4829

Fax

(407) 369-4250

NPI assigned

Dec 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Aliasghar Meheboob Jagani, OD

Title

President

Phone

(407) 979-4829

Specialties & licenses 1

Addresses

Other names 1

• Baldwin Park Eye Care Doing business as

Locations

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1780190561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 NEW BROAD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 NEW BROAD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146629",
            "telephone_number": "407-979-4829",
            "fax_number": "407-369-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN PARK EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "JAGANI",
        "authorized_official_first_name": "ALIASGHAR",
        "authorized_official_middle_name": "MEHEBOOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-979-4829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldwin Park Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremiahdominic Balbin, MD
• Brent Ralph Baldasare
• Maria Florencia Baldassarre, FNPC
• Brad Balde
• Bonita Baldick, LMHC
• Baldwin Park Family Practice, P.a.
• Nicole Lourine Baldwin-Hunt, APRN FNP-BC
• Amanda G. Baldwin, RN
• Charles Baldwin Jr., BCABA
• Lauren Margaret Baldwin, PA-C, RD/N

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.