Organization Active NPI

Ivan H Garcia MD PC

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1942440789
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
IVAN H GARCIA MD PC
Practice address
2925 Lord Baltimore Dr
Suite 300
Baltimore, MD 21244-2634
Phone
(410) 277-3937
Fax
(410) 281-9388
NPI assigned
Mar 5, 2009
Organization subpart
Yes
Parent organization
IVAN H GARCIA MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Mr. Edward John Wasloski, O.D.
Title
Founding Member
Phone
(410) 277-3937

Specialties & licenses 1

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

Addresses

Primary practice location

2925 Lord Baltimore Dr
Suite 300
Baltimore, MD 21244-2634

Mailing address

2925 Lord Baltimore Dr
Suite 300
Baltimore, MD 21244-2634
Phone (410) 277-3937

Other identifiers 5

IdentifierTypeStateIssuer
TA2095OtherMDLICENSE
TA0943OtherMDLICENSE
TA1633OtherMDLICENSE
TA1850OtherMDLICENSE
412506100MedicaidMD

Other names 1

  • Omni Eye Specialists Other name

National Provider Directory

National Provider Directory
Part of
Omni Eye Specialiss

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1942440789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 LORD BALTIMORE DR",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442634",
            "telephone_number": "410-277-3937",
            "fax_number": "410-281-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 LORD BALTIMORE DR",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442634",
            "telephone_number": "410-277-3937",
            "fax_number": "410-281-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN H GARCIA MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IVAN H GARCIA MD PC",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "WASLOSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "FOUNDING MEMBER",
        "authorized_official_telephone_number": "410-277-3937",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TA2095",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TA0943",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TA1633",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TA1850",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412506100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Eye Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 5, 2009; 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.