Olabukola Akintayo
Individual provider Active NPI Optometrist · Lanham, MD
NPI 1497430847 · NPPES record last updated Jan 19, 2024
Key facts
- NPI
- 1497430847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0000000 (MD)
- Practice address
- 9337 Annapolis Rd
Lanham, MD 20706-3120 - Phone
- (240) 696-4841
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northerngate
Practice addresses (Care Compare)
8650 Georgia Ave
Silver Spring, MD 20910-3404
Phone (301) 589-7474
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250902001977 | DC | Practitioner - Optometry | 3072014885 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Optometrist | Current |
Accepting new patients |
| Visionworks, Inc | Current |
Accepting new patients | |
| Northerngate | Current |
Accepting new patients | |
| America'S Best Contacts & Eyeglasses | Past |
Accepting new patients |
Locations
15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132
8650 Georgia Ave
Silver Spring, MD 20910
Phone (301) 589-7474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0000000 | MD | Yes |
Addresses
Primary practice location
9337 Annapolis Rd
Lanham, MD 20706-3120
Mailing address
9337 Annapolis Rd
Lanham, MD 20706-3120
Phone (406) 964-8412
NPI Registry JSON
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1497430847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9337 ANNAPOLIS RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063120",
"telephone_number": "406-964-8412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9337 ANNAPOLIS RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063120",
"telephone_number": "240-696-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINTAYO",
"first_name": "OLABUKOLA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "0000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.