Active NPI
Chaz Obianyo, ABOC
- Optician
- Landover, MD
National Provider Identifier
1366018749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 224188
- Practice address
- 2007 Ray Leonard Rd
Landover, MD 20785-4226 - Phone
- (202) 921-2472
- NPI assigned
- May 27, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 224188 | MD | Primary |
Addresses
Primary practice location
2007 Ray Leonard Rd
Landover, MD 20785-4226
Mailing address
2007 Ray Leonard Rd
Landover, MD 20785-4226
Phone (202) 921-2472
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
| License | State | Type | Specialty |
|---|---|---|---|
| 224188 | MD | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1366018749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 RAY LEONARD RD",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207854226",
"telephone_number": "202-921-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 RAY LEONARD RD",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207854226",
"telephone_number": "202-921-2472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBIANYO",
"first_name": "CHAZ",
"name_prefix": "Mr.",
"credential": "ABOC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MD",
"license": "224188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Landover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.