Individual provider Active NPI

Daniel O Olanrewaju, O.D

  • Optometrist
  • JB Andrews, MD
National Provider Identifier
1134216112
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001702 Issued in VA
Practice address
1811 G St Ste C00007
JB Andrews, MD 20762-5677
Phone
(301) 735-1393
Fax
(512) 305-3301
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2040 MD
Optometrist 152W00000X 9112T TX
Optometrist 152W00000X 0618001702 VA 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) 633-0339

Other practice location 1

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

Other practice location 2

1100 S Hayes St
suite 3042
Arlington, VA 22202-4907
Phone (571) 483-0033

Other practice location 3

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

Other practice location 4

Bldg 4250, Clear Creek Road
Fort Hood, TX 76544-5082
Phone (254) 532-1544

Other practice location 5

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

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140423001605 DC Practitioner - Optometry 1153554365 Reassigns benefits to 1 organization
I20230814003796 TX Practitioner - Optometry 1153554365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

4250 S Clear Creek Rd
Fort Hood, TX 76544-5082
Phone (254) 532-1544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9112TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Isee Vision Center Optometrist Current Accepting new patients
Icare Associates Vision Center TX PLLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Steer Optical LLC PastSince Jan 29, 2013 Accepting new patients
Joseph and Bass Eye Associates PA Optometrist PastSince Jul 9, 2019 Accepting new patients

Locations

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

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

Organizations & group practices 5

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1134216112",
    "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": "301-633-0339",
            "fax_number": "512-305-3301"
        },
        {
            "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": "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": "1100 S Hayes St",
            "address_2": "suite 3042",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222024907",
            "country_code": "US",
            "telephone_number": "571-483-0033",
            "fax_number": "703-416-9591",
            "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": "Bldg 4250, Clear Creek Road",
            "address_purpose": "LOCATION",
            "city": "Fort Hood",
            "state": "TX",
            "postal_code": "765445082",
            "country_code": "US",
            "telephone_number": "254-532-1544",
            "fax_number": "254-532-1545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2799 Rose St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fort 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": {
        "last_name": "OLANREWAJU",
        "first_name": "DANIEL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2040",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9112T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in JB Andrews, MD

Sources for this page

Verify at the official NPI Registry.