Active NPI
Adaeze Ashley Nnabue, OD
- Optometrist
- Mitchellville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA3009
- Practice address
- 10240 Lake Arbor Way
Mitchellville, MD 20721-3113 - Phone
- (301) 324-9500
- Fax
- (301) 324-9502
- NPI assigned
- Jul 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA3009 | MD | Primary |
Addresses
Primary practice location
10240 Lake Arbor Way
Mitchellville, MD 20721-3113
Mailing address
10240 Lake Arbor Way
Mitchellville, MD 20721-3113
Phone (301) 324-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1835 University Blvd E
Hyattsville, MD 20783-4600
Phone (301) 434-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Alexander C Nnabue and Associates PA | Current | Accepting new patients |
Locations
6088 Greenbelt Rd
Unit 44
Greenbelt, MD 20770
Phone (301) 614-3937
1835 University Blvd E
Ste 228
Hyattsville, MD 20783
Phone (301) 434-3937
10240 Lake Arbor Way
Mitchellville, MD 20721
Phone (301) 324-9500
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.
-
- Corneal and Contact Management Optometrist
- Clinton, MD
- NPI 1245479336
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720051200000",
"number": "1174369508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10240 LAKE ARBOR WAY",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207213113",
"telephone_number": "301-324-9500",
"fax_number": "301-324-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10240 LAKE ARBOR WAY",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207213113",
"telephone_number": "301-324-9500",
"fax_number": "301-324-9502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NNABUE",
"first_name": "ADAEZE",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-04",
"last_updated": "2024-07-04",
"certification_date": "2024-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA3009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mitchellville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; 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.