Active NPI
Stella Chidi Ohanenye, O.D.
- Optometrist
- North East, MD
National Provider Identifier
1326148412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1808
- Practice address
- 75 N East Rd
North East, MD 21901-3613 - Phone
- (410) 287-3723
- Fax
- (410) 287-3826
- NPI assigned
- Sep 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | TA1808 | MD | Primary |
Addresses
Primary practice location
75 N East Rd
North East, MD 21901-3613
Mailing address
75 N East Rd
North East, MD 21901-3613
Phone (410) 287-3723
Other names 1
- Dr. Stella Chidi Mbakwe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
600 N Broad St
Suite 12
Middletown, DE 19709-1032
Phone (302) 563-8820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA1808 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy M Farrall OD LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326148412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 N EAST RD",
"city": "NORTH EAST",
"state": "MD",
"postal_code": "219013613",
"telephone_number": "410-287-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 N EAST RD",
"city": "NORTH EAST",
"state": "MD",
"postal_code": "219013613",
"telephone_number": "410-287-3723",
"fax_number": "410-287-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHANENYE",
"first_name": "STELLA",
"middle_name": "CHIDI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STELLA",
"last_name": "MBAKWE",
"middle_name": "CHIDI",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North East, MD
- North East Chiropractic PA (Blackiston Chiropractic)
- North East Fire Company Inc
- North East Pharmacy Inc
- Nurturing Minds Health and Wellness LLC
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Cornelius O. Ope, MD
- Eileen M Pack, CRNP
- Pamela Leclaire MD, LLC
- Darshna Patel
- Reena Patel, D.M.D
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.
- 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.