Active NPI
Glaucoma Consultants of Washington
- Ophthalmology Physician
- Winchester, VA
National Provider Identifier
1992974950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101052835
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Ophthalmology Physician
- Herndon, VA
- NPI 1073782777
O20090414000324
-
- Ophthalmology Physician
- Herndon, VA
- NPI 1962671818
O20090414000324
National Provider Directory
National Provider Directory- Tax ID family
- Glaucoma Consultants of Washington
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Herndon, VA
- NPI 1073782777
-
- Ophthalmology Physician
- Herndon, VA
- NPI 1962671818
-
- Ophthalmology Physician
- Easton, MD
- NPI 1083883789
-
- Ophthalmology Physician
- Silver Spring, MD
- NPI 1407028962
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.