Active NPI
Emmanuel O Okala, OD
- Optometrist
- Washington, DC
National Provider Identifier
1619528981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP1000410
- Practice address
- 1100 Connecticut Ave NW
Washington, DC 20036-4101 - Phone
- (202) 223-1050
- NPI assigned
- Sep 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 009054 | NY | |
| Optometrist | 152W00000X | OP1000410 | DC | Primary |
Addresses
Primary practice location
1100 Connecticut Ave NW
Washington, DC 20036-4101
Mailing address
1100 Connecticut Ave NW
Washington, DC 20036-4101
Phone (202) 223-1050
Other practice location 1
2421 Vestal Pkwy E # 5
Vestal, NY 13850-2066
Phone (607) 217-5169
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 |
|---|---|---|---|
| OP1000410 | DC | MD | Optometrist |
| 009054 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Washington, DC
- NPI 1932130747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1619528981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CONNECTICUT AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200364101",
"telephone_number": "202-223-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CONNECTICUT AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200364101",
"telephone_number": "202-223-1050"
}
],
"practiceLocations": [
{
"address_1": "2421 Vestal Pkwy E # 5",
"address_purpose": "LOCATION",
"city": "Vestal",
"state": "NY",
"postal_code": "138502066",
"country_code": "US",
"telephone_number": "607-217-5169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKALA",
"first_name": "EMMANUEL",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-26",
"last_updated": "2020-10-25",
"certification_date": "2020-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "009054",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DC",
"license": "OP1000410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.