Individual provider Active NPI

Onyekachukwu Illoh, OD, MPH

  • Optometrist
  • Washington, DC
National Provider Identifier
1629504535
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1000350 Issued in DC
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

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1000350DCMDOptometrist
TA2698MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Apr 5, 2023 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Apr 5, 2023 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.

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

Verify at the official NPI Registry.