Organization Active NPI

Icare Associates Vision Center LLC.

  • Optometrist
  • JB Andrews, MD
National Provider Identifier
1003464249
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ICARE ASSOCIATES VISION CENTER LLC.
Practice address
1811 G St Ste C00007
JB Andrews, MD 20762-5677
Phone
(301) 735-1393
Fax
(512) 305-3301
NPI assigned
Aug 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Dr. Daniel Olanrewaju, ODNPI 1134216112
Title
Optometrist
Phone
(301) 735-1393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1811 G St Ste C00007
JB Andrews, MD 20762-5677

Mailing address

1811 G St Ste C00007
JB Andrews, MD 20762-5677
Phone (301) 735-1393

Other practice location 1

4250 S Clear Creek Road
Fort Cavazos, TX 76544
Phone (254) 532-1544

Other practice location 2

2515 Funston Rd Ste A0010
Fort Sam Houston, TX 78234-7667
Phone (210) 223-1104

Other practice location 3

127 Gold Vault Rd Ste 1
Fort Knox, KY 40121-5254
Phone (502) 799-1675

Other practice location 4

2799 Rose St Ste 3
Fort George G Meade, MD 20755-5140
Phone (410) 305-4142

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 4myvision@mdofficemail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190917002750 DC Part B Supplier - Clinic/Group Practice 9436488418 Receives reassigned benefits from 1 practitioner
Practice locations: JB Andrews, MD
O20230814003695 TX Part B Supplier - Clinic/Group Practice 9436488418 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Hood, TX

National Provider Directory

National Provider Directory

Locations

1683 Starkey Ave
Andrews Air Force Base, MD 20762
Phone (301) 735-1393

2799 Rose St
Ste 3
Fort George G Meade, MD 20755
Phone (410) 305-4142

16501 Shady Grove Rd
Unit 7743
Gaithersburg, MD 20898

1811 G St
Ste C7
Jb Andrews, MD 20762
Phone (301) 735-1393

1683 Starkey Ave
Joint Base Andrews, MD 20762

2515 Funston Rd
Ste A10
Jbsa Ft Sam Houston, TX 78234
Phone (210) 223-1104

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1003464249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 G ST STE C00007",
            "city": "JB ANDREWS",
            "state": "MD",
            "postal_code": "207625677",
            "telephone_number": "301-735-1393",
            "fax_number": "410-874-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 G ST STE C00007",
            "city": "JB ANDREWS",
            "state": "MD",
            "postal_code": "207625677",
            "telephone_number": "301-735-1393",
            "fax_number": "512-305-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 S Clear Creek Road",
            "address_purpose": "LOCATION",
            "city": "Fort Cavazos",
            "state": "TX",
            "postal_code": "76544",
            "country_code": "US",
            "telephone_number": "254-532-1544",
            "fax_number": "512-305-3301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 Funston Rd Ste A0010",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782347667",
            "country_code": "US",
            "telephone_number": "210-223-1104",
            "fax_number": "512-305-3301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Gold Vault Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Knox",
            "state": "KY",
            "postal_code": "401215254",
            "country_code": "US",
            "telephone_number": "502-799-1675",
            "fax_number": "512-305-3301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2799 Rose St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fort George G Meade",
            "state": "MD",
            "postal_code": "207555140",
            "country_code": "US",
            "telephone_number": "410-305-4142",
            "fax_number": "512-305-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICARE ASSOCIATES VISION CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "OLANREWAJU",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "301-735-1393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "4myvision@mdofficemail.com",
            "affiliation": "N",
            "endpointDescription": "4myvision@mdofficemail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient-Provider Communication",
            "address_1": "Bldg. 1811 G Street Suite C00007",
            "city": "Joint Base Andrews",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207626302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in JB Andrews, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.