Noushin Summit Ahmed, O.D.

Individual provider Active NPI Optometrist · Pasadena, MD

NPI 1922422732 · NPPES record last updated May 22, 2023

Key facts

NPI
1922422732
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
TA2374 (MD)
Practice address
33 Magothy Beach Rd Ste 104
Pasadena, MD 21122-4467
Phone
(410) 437-6000
Fax
(410) 437-6001
NPI assigned
Feb 13, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Eye Care, LLC Optometrist Past
since May 28, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2374 MD Yes

Addresses

Primary practice location

33 Magothy Beach Rd Ste 104
Pasadena, MD 21122-4467

Mailing address

2023 Pulaski Hwy
Havre de Grace, MD 21078-2137

Other providers in Pasadena, MD

All providers in Pasadena, MD · Optometrist in Maryland

Sources for this page

Verify at the official NPI Registry.