Active NPI
Chika Eye Care LLC
- Optometrist
- Waldorf, MD
National Provider Identifier
1285946210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- X48488
- Legal business name
- CHIKA EYE CARE LLC
- Practice address
- 122 Smallwood Village Ctr
Waldorf, MD 20602-1843 - Phone
- (240) 419-3846
- Fax
- (240) 419-3854
- NPI assigned
- Jul 7, 2010
- 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. Chika Ojukwu, OD
- Title
- Owner
- Phone
- (240) 419-3846
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | X48488 | MD | Primary |
Addresses
Primary practice location
122 Smallwood Village Ctr
Waldorf, MD 20602-1843
Mailing address
122 Smallwood Village Ctr
Waldorf, MD 20602-1843
Phone (240) 419-3846
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TA1860 | Other | MD | LICENSE |
| 217726 | Other | MD | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11930 Acton Ln
Waldorf, MD 20601
Phone (240) 435-4822
122 Smallwood Village Ctr
Waldorf, MD 20602
Phone (240) 419-3846
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Waldorf, MD
- NPI 1790872752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347580800000",
"number": "1285946210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 SMALLWOOD VILLAGE CTR",
"city": "WALDORF",
"state": "MD",
"postal_code": "206021843",
"telephone_number": "240-419-3846",
"fax_number": "240-419-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 SMALLWOOD VILLAGE CTR",
"city": "WALDORF",
"state": "MD",
"postal_code": "206021843",
"telephone_number": "240-419-3846",
"fax_number": "240-419-3854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIKA EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-07",
"last_updated": "2012-09-14",
"status": "A",
"authorized_official_last_name": "OJUKWU",
"authorized_official_first_name": "CHIKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-419-3846",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MD",
"license": "X48488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "TA1860",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "217726",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
- Chesapeake&Washington Heart Care, PC
- Juleen M. H. Chevalier, MSW
- Jaya Chhabra
- Om P Chhabra, M.D.
- Hilda Mungen CHI, NP
- Child & Adult Psychiatry & Behavioral Services LLC
- Child & Adult Rehab Serv Inc
- Children'S Pediatricians & Associates, LLC
- Childrens Pediatricians & Assoc
- Lorenzo Childress III, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.