Individual provider Active NPI

Victoria O Oshodi, OD

  • Optometrist
  • Washington, DC
National Provider Identifier
1235155441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP640 Issued in DC
Practice address
645 Pennsylvania Avenue SE
Washington, DC 20003
Phone
(202) 547-0956
Fax
(202) 547-1065
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP640 DC Primary

Addresses

Primary practice location

645 Pennsylvania Avenue SE
Washington, DC 20003

Mailing address

2811 Lord Baltimore Dr
Baltimore, MD 21244
Phone (443) 316-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OP640DCMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235155441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 LORD BALTIMORE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21244",
            "telephone_number": "443-316-2101",
            "fax_number": "410-265-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 PENNSYLVANIA AVENUE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20003",
            "telephone_number": "202-547-0956",
            "fax_number": "202-547-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHODI",
        "first_name": "VICTORIA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.