Active NPI
Abdul Babajide Daranijoh, O.D
- Optometrist
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002274
- Practice address
- 3412 Wrightsboro Rd
Suite 905
Augusta, GA 30909-2500 - Phone
- (706) 736-3937
- Fax
- (706) 736-3938
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002274 | GA | Primary |
| Optometrist | 152W00000X | 1489 | SC |
Addresses
Primary practice location
3412 Wrightsboro Rd
Suite 905
Augusta, GA 30909-2500
Mailing address
P.O.Box 3151
Evans, GA 30809
Phone (812) 219-3207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
201 Harbison Blvd
Suite 110
Columbia, SC 29212-2270
Phone (803) 732-1942
3412 Wrightsboro Rd
Suite 905
Augusta, GA 30909-1015
Phone (706) 736-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002274 | GA | MD | Optometrist |
| 1489 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martinez Eye Associates LLC | Optometrist | Current | Accepting new patients |
Locations
3412 Wrightsboro Rd
Ste 905
Augusta, GA 30909
Phone (706) 736-3937
10136 Two Notch Rd
Ste 107D
Columbia, SC 29229
Phone (803) 477-3109
201 Harbison Blvd
Ste 110
Columbia, SC 29212
Phone (803) 732-1917
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- FL HMO
- FL HMO D-SNP
- FL HMO C-SNP
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1013000744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 3151",
"city": "EVANS",
"state": "GA",
"postal_code": "30809",
"telephone_number": "812-219-3207",
"fax_number": "866-687-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3412 WRIGHTSBORO RD",
"address_2": "SUITE 905",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309092500",
"telephone_number": "706-736-3937",
"fax_number": "706-736-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARANIJOH",
"first_name": "ABDUL",
"middle_name": "BABAJIDE",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "002274",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1489",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.