Active NPI
Ivan H Garcia MD PC
- Optometrist
- Baltimore, MD
National Provider Identifier
1942440789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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 PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TA2095 | Other | MD | LICENSE |
| TA0943 | Other | MD | LICENSE |
| TA1633 | Other | MD | LICENSE |
| TA1850 | Other | MD | LICENSE |
| 412506100 | Medicaid | MD |
Other names 1
- Omni Eye Specialists
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.
-
- Specialist
- Baltimore, MD
- NPI 1417986712
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Baltimore, MD
- NPI 1629074745
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.