Active NPI
Onyekachukwu Illoh, OD, MPH
- Optometrist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP1000350
- Practice address
- 1924 8TH St NW
Washington, DC 20001-3286 - Phone
- (202) 602-1745
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
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 | TA2698 | MD | |
| Optometrist | 152W00000X | OP1000350 | DC | Primary |
Addresses
Primary practice location
1924 8TH St NW
Washington, DC 20001-3286
Mailing address
10903 New Hampshire Ave
Building 22, Room 3409
Silver Spring, MD 20993-0002
Phone (301) 796-7572
Other practice location 1
8525 Georgia Ave
Silver Spring, MD 20910-3402
Phone (301) 588-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP1000350 | DC | MD | Optometrist |
| TA2698 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
Locations
5701 Greenbelt Rd
Ste 520
Berwyn Heights, MD 20740
Phone (301) 345-2053
4465 Willard Ave
Chevy Chase, MD 20815
Phone (301) 951-3373
19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200
5331 Baltimore Ave
Ste 103
Hyattsville, MD 20781
Phone (240) 391-8989
7721 Tuckerman Ln
Potomac, MD 20854
Phone (301) 983-5884
13505 Connecticut Ave
Silver Spring, MD 20906
Phone (301) 438-0555
8529 Georgia Ave
Silver Spring, MD 20910
Phone (301) 588-3232
2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 3
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
- Silver Spring, MD
- NPI 1023663820
-
- Optometrist
- Clinton, MD
- NPI 1497124796
-
- Optometrist
- Laurel, MD
- NPI 1972900058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1629504535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10903 NEW HAMPSHIRE AVE",
"address_2": "BUILDING 22, ROOM 3409",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209930002",
"telephone_number": "301-796-7572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 8TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200013286",
"telephone_number": "202-602-1745"
}
],
"practiceLocations": [
{
"address_1": "8525 Georgia Ave",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209103402",
"country_code": "US",
"telephone_number": "301-588-3232",
"fax_number": "301-588-3646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILLOH",
"first_name": "ONYEKACHUKWU",
"credential": "OD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2698",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DC",
"license": "OP1000350",
"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 Mar 31, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.