Organization Active NPI

Dr Irwin Azman & Dr Thomas Azman Ods PA

Doing business as Azman Eye Care Specialists

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1891856357
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DR IRWIN AZMAN & DR THOMAS AZMAN ODS PA
Doing business as
Azman Eye Care Specialists
Practice address
1427 Clarkview Rd Ste 200
Baltimore, MD 21209-2100
Phone
(410) 561-8050
Fax
(410) 561-8055
NPI assigned
Dec 12, 2006
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Mrs. Nicole Ellingsworth
Title
Practice Administrator
Phone
(410) 561-8050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1427 Clarkview Rd Ste 200
Baltimore, MD 21209-2100

Mailing address

1427 Clarkview Rd Ste 200
Baltimore, MD 21209-2100
Phone (410) 561-8050

Other names 1

  • Azman Eye Care Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090414000217 MD Part B Supplier - Clinic/Group Practice 2264589043 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

1427 Clarkview Rd
Ste 200
Baltimore, MD 21209
Phone (410) 561-8050

7 Center Pl
Dundalk, MD 21222
Phone (410) 285-3900

2219 York Rd
Ste 101
Timonium, MD 21093
Phone (410) 561-8050

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1891856357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 CLARKVIEW RD STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092100",
            "telephone_number": "410-561-8050",
            "fax_number": "410-561-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 CLARKVIEW RD STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092100",
            "telephone_number": "410-561-8050",
            "fax_number": "410-561-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR IRWIN AZMAN & DR THOMAS AZMAN ODS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "ELLINGSWORTH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "410-561-8050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azman Eye Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.