Organization Active NPI

Glaucoma Consultants of Washington

  • Ophthalmology Physician
  • Winchester, VA
National Provider Identifier
1992974950
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101052835 Issued in VA
Legal business name
GLAUCOMA CONSULTANTS OF WASHINGTON
Practice address
1870 Amherst St
Suite 3a
Winchester, VA 22601-2873
Phone
(703) 232-1717
Fax
(240) 804-1236
NPI assigned
Feb 25, 2008
Last updated
Nov 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Dr. Sameer Imtiaz Ahmad, MD
Title
Director
Phone
(240) 804-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101052835 VA Primary

Addresses

Primary practice location

1870 Amherst St
Suite 3a
Winchester, VA 22601-2873

Mailing address

PO Box 651091
Sterling, VA 20165-1091
Phone (240) 804-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090414000324 VA Part B Supplier - Clinic/Group Practice 1153497821 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winchester, VA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Glaucoma Consultants of Washington5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1992974950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651091",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201651091",
            "telephone_number": "240-804-1234",
            "fax_number": "240-804-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 AMHERST ST",
            "address_2": "SUITE 3A",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012873",
            "telephone_number": "703-232-1717",
            "fax_number": "240-804-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA CONSULTANTS OF WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_middle_name": "IMTIAZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-804-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101052835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.