Active NPI
Mayfrank Inc
- Sports Vision Optometrist
- Temple Hills, MD
National Provider Identifier
1164668687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Vision Optometrist
- License
- OP1000092
- Legal business name
- MAYFRANK INC
- Doing business as
- Sterling Optical, Iverson Mall
- Practice address
- 3801 Branch Ave Ste D
Temple Hills, MD 20748-1415 - Phone
- (301) 899-1454
- Fax
- (301) 702-2854
- NPI assigned
- Jan 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dominic Sunday Onwukwe, OD
- Title
- President & Clinical Director
- Phone
- (240) 245-4022
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1912 | MD | |
| Corneal and Contact Management Optometrist | 152WC0802X | TA1912 | MD | |
| Pediatric Optometrist | 152WP0200X | TA1912 | MD | |
| Sports Vision Optometrist | 152WS0006X | TA1912 | MD | |
| Sports Vision Optometrist | 152WS0006X | OP1000092 | DC | Primary |
| Occupational Vision Optometrist | 152WX0102X | TA1912 | MD |
Addresses
Primary practice location
3801 Branch Ave Ste D
Temple Hills, MD 20748-1415
Mailing address
3801 Branch Ave Ste D
Temple Hills, MD 20748-1415
Phone (301) 899-1454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020377700 | Medicaid | MD |
Other names 1
- Sterling Optical, Iverson Mall
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231200000000",
"number": "1164668687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 BRANCH AVE STE D",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207481415",
"telephone_number": "301-899-1454",
"fax_number": "301-702-2854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 BRANCH AVE STE D",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207481415",
"telephone_number": "301-899-1454",
"fax_number": "301-702-2854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYFRANK INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-06",
"last_updated": "2009-01-06",
"status": "A",
"authorized_official_last_name": "ONWUKWE",
"authorized_official_first_name": "DOMINIC",
"authorized_official_middle_name": "SUNDAY",
"authorized_official_title_or_position": "PRESIDENT & CLINICAL DIRECTOR",
"authorized_official_telephone_number": "240-245-4022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MD",
"license": "TA1912",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MD",
"license": "TA1912",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "MD",
"license": "TA1912",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": "MD",
"license": "TA1912",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": "DC",
"license": "OP1000092",
"primary": true
},
{
"code": "152WX0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": "MD",
"license": "TA1912",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020377700",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sterling Optical, Iverson Mall",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Temple Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.