NPIMap

Organization Active NPI

Innovision Eye Care LLC

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1912399692
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2323 Issued in MD
Legal business name
INNOVISION EYE CARE LLC
Practice address
1500 Whetstone Way Ste 100
Baltimore, MD 21230-4765
Phone
(443) 300-7296
Fax
(443) 288-2250
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Dr. Shilpa Jain, OD
Title
Manager
Phone
(443) 300-7296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA2323 MD Primary

Addresses

Primary practice location

1500 Whetstone Way Ste 100
Baltimore, MD 21230-4765

Mailing address

1500 Whetstone Way Ste 100
Baltimore, MD 21230-4765
Phone (443) 300-7296

National Provider Directory

National Provider Directory

Locations

1500 Whetstone Way
Ste 100
Baltimore, MD 21230
Phone (443) 300-7296

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1912399692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WHETSTONE WAY STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304765",
            "telephone_number": "443-300-7296",
            "fax_number": "443-288-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WHETSTONE WAY STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304765",
            "telephone_number": "443-300-7296",
            "fax_number": "443-288-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVISION EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-300-7296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 4, 2015; 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.