Individual provider Active NPI

Sadia Haque, O.D.

  • Vision Therapy Optometrist
  • New Market, MD
National Provider Identifier
1861869455
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
TA2486 Issued in MD
Practice address
164 W Main St
Suite B
New Market, MD 21774-6279
Phone
(301) 865-1800
Fax
(301) 865-1973
NPI assigned
Aug 31, 2015
Last updated
Aug 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2486 MD
Vision Therapy Optometrist 152WV0400X TA2486 MD Primary

Addresses

Primary practice location

164 W Main St
Suite B
New Market, MD 21774-6279

Mailing address

164 W Main St
Suite B
New Market, MD 21774-6279
Phone (301) 865-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181206002179 MD Practitioner - Optometry 7618211392 Reassigns benefits to 1 organization
I20240416002678 DC Practitioner - Optometry 7618211392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crofton Family Eye Care LLCGroup PAC ID 9335332824, 3 clinicians
Neuro-Vision Therapy Center LLCGroup PAC ID 9436559812, 3 clinicians

Practice addresses (Care Compare)

1702 Transportation Blvd
Suite I
Crofton, MD 21114-2149
Phone (410) 721-2500

3204 Tower Oaks Blvd
Suite 450
Rockville, MD 20852-4250
Phone (240) 669-6930

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2486MDMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Crofton Family Eye Care LLC Optometrist CurrentSince Oct 15, 2018 Accepting new patients
Neuro-Vision Therapy Center LLC Vision Therapy CurrentSince Apr 12, 2024 Accepting new patients

Locations

1702 Transportation Blvd
Ste I
Crofton, MD 21114
Phone (410) 721-2500

3204 Tower Oaks Blvd
Ste 450
Rockville, MD 20852
Phone (240) 669-6930

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24346/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sadia.haque.1@24346.direct.athenahealth.com

Organizations & group practices 2

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1861869455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W MAIN ST",
            "address_2": "SUITE B",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746279",
            "telephone_number": "301-865-1800",
            "fax_number": "301-865-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W MAIN ST",
            "address_2": "SUITE B",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746279",
            "telephone_number": "301-865-1800",
            "fax_number": "301-865-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "SADIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2486",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MD",
            "license": "TA2486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Market, MD

Sources for this page

Verify at the official NPI Registry.