DR. IRVIN R MADURO MD NPI 1417018946

NPI Information

  • NPI: 1417018946
  • Provider Name: DR. IRVIN R MADURO, MD
  • Classification: Optometrist - 152WP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 6014 OLD BRANCH AVE
    KAISER PERMANENTE CAMP SPRINGS MEDICAL CENTER
    TEMPLE HILLS, MD
    ZIP 20748
  • Phone: (301) 702-6100

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NPI Details

DR. Irvin R Maduro, MD is a pediatrics optometrist in Temple Hills, MD. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. DR. Irvin R Maduro, MD NPI is 1417018946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6014 OLD BRANCH AVE
KAISER PERMANENTE CAMP SPRINGS MEDICAL CENTER
TEMPLE HILLS, MD
ZIP 20748-518
Phone: (301) 702-6100
Fax: (301) 702-6366

The enumeration date for this NPI number is 12/12/2006 and was last updated on 1/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WP0200XOptometristPediatricsMD22166DISTRICT OF COLUMBIANo
2152WP0200XOptometristPediatricsD0038713MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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