Individual provider Active NPI

Ihuoma C. Nwajei, O.D.

  • Optometrist
  • Clinton, MD
National Provider Identifier
1356466411
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1000112 Issued in DC
Practice address
8902 Dangerfield Rd
Clinton, MD 20735-2912
Phone
(202) 737-2262
Fax
(202) 628-1842
NPI assigned
Mar 20, 2007
Last updated
Jun 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP1000112 DC Primary

Addresses

Primary practice location

8902 Dangerfield Rd
Clinton, MD 20735-2912

Mailing address

8902 Dangerfield Rd
Clinton, MD 20735-2912
Phone (202) 737-2262

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260624000701 DC Order and Referring Only - OptometryPractitioner - Optometry 1759854581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1000112DCMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1356466411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 DANGERFIELD RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352912",
            "telephone_number": "202-737-2262",
            "fax_number": "202-628-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 DANGERFIELD RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352912",
            "telephone_number": "202-737-2262",
            "fax_number": "202-628-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAJEI",
        "first_name": "IHUOMA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.