Individual provider Active NPI

Madiha Amjed, O.D.

  • Optometrist
  • Hagerstown, MD
National Provider Identifier
1831572379
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002429 Issued in VA
Practice address
17233 Cole Rd
Hagerstown, MD 21740-6981
Phone
(240) 329-4699
Fax
(240) 329-4706
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002429 VA Primary

Addresses

Primary practice location

17233 Cole Rd
Hagerstown, MD 21740-6981

Mailing address

709 Pine St
Herndon, VA 20170-4604
Phone (703) 471-7810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002429VAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1831572379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 PINE ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704604",
            "telephone_number": "703-471-7810",
            "fax_number": "703-471-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17233 COLE RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406981",
            "telephone_number": "240-329-4699",
            "fax_number": "240-329-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMJED",
        "first_name": "MADIHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.