IVAN H GARCIA MD PC NPI 1417986712

NPI Information

  • NPI: 1417986712
  • Provider Name: IVAN H GARCIA MD PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Other Name: OMNI EYE SPECIALISTS
  • Address: 2925 LORD BALTIMORE DR.
    SUITE 300
    BALTIMORE, MD
    ZIP 21244
  • Phone: (410) 277-3937

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NPI Details

IVAN H GARCIA MD PC is a specialist in Baltimore, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. IVAN H GARCIA MD PC NPI is 1417986712. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Omni Eye Specialists.

The provider's business location address is:

2925 LORD BALTIMORE DR.
SUITE 300
BALTIMORE, MD
ZIP 21244-566
Phone: (410) 277-3937
Fax: (410) 281-9388

The provider's authorized official is Edward John Wasloski .
The authorized official title is Founding Member and has the following contact phone number (410) 281-2656.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 7/21/2022.

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
1152W00000XOptometristNo
2174400000XSpecialistMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1078561000MEDICAIDMARYLAND
24125061000MEDICAIDMARYLAND

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: 3/30/2025

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