Adel Ibrahim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1770 Issued in MD

Practice address

13531 Connecticut Ave
Silver Spring, MD 20906-2912

Phone

(301) 438-0555

Fax

(301) 438-0556

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

State University of New York - State College Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Myeyedr Optometry of Virginia, PLLCGroup PAC ID 0143448456, 133 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles (15 of 16)

Locations (25 of 38)

Networks

• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

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.

• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Falls Church, VA
  • NPI 1710343744

  DC

  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Clinton, MD
  • NPI 1497124796

  DC

  Medicare reassignment NPD
• Rockville Optometry, LLC

  • Optometrist
  • Rockville, MD
  • NPI 1548325798

  DC

  Medicare reassignment NPD
• Myeyedr Optometry of DC, LLC

  • Optometrist
  • Washington, DC
  • NPI 1891105458
  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Thurmont, MD
  • NPI 1134585235
  NPD
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Bowie, MD
  • NPI 1831567668
  NPD
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Laurel, MD
  • NPI 1972900058
  NPD
• Myeyedr Optometry of DC, LLC

  • Optometrist
  • Washington, DC
  • NPI 1114814381
  NPD
• Myeyedr Optometry of DC, LLC

  • Optometrist
  • Washington, DC
  • NPI 1689330490
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Springfield, VA
  • NPI 1386475879
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1023100104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "SUITE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823990",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13531 CONNECTICUT AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062912",
            "telephone_number": "301-438-0555",
            "fax_number": "301-438-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Old Gallows Rd",
            "address_2": "SUITE 520",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221823990",
            "country_code": "US",
            "telephone_number": "703-847-8899 x210",
            "fax_number": "703-991-0514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "ADEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bibi Ibadin, CRNP
• Mary Ibe
• Adebola B Ibirogba, MD
• Ibis Community Services LLC
• Idara Ibok, NP
• Ashley Ibrahim
• Homam Ibrahim, MD
• Ibss Corp
• Ican OT, L.L.C.
• Ongisa Ichile-McKenzie

• Optometrist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.

Verify at the official NPI Registry.