Individual provider Active NPI

Sonia Kidwai, OD

  • Optometrist
  • Hagerstown, MD
National Provider Identifier
1801469523
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2823 Issued in MD
Practice address
17301 Valley Mall Rd
Hagerstown, MD 21740-6966
Phone
(301) 582-1771
Fax
(301) 582-4681
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X TA2823 MD Primary

Addresses

Primary practice location

17301 Valley Mall Rd
Hagerstown, MD 21740-6966

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

1725B Dual Hwy
Hagerstown, MD 21740-6653
Phone (301) 739-6573

Other names 1

  • Sonia Tsay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210819002198 MD Practitioner - Optometry 9335544923 Reassigns benefits to 2 organizations
I20230315002640 DC Practitioner - Optometry 9335544923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians
Aeg Maryland Professional LLCGroup PAC ID 7618316902, 20 clinicians

Practice addresses (Care Compare)

17301 Valley Mall Rd
Hagerstown, MD 21740-6966
Phone (301) 582-1771

73 Thomas Johnson Dr
Frederick, MD 21702-4426
Phone (301) 662-1601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Aeg Maryland Professional LLC Optometrist CurrentSince Sep 26, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Aug 23, 2021 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Aug 23, 2021 Accepting new patients
Rockville Optometry, LLC Optometrist CurrentSince Dec 2, 2022 Accepting new patients

Locations

409 W Cold Spring Ln
Baltimore, MD 21210
Phone (410) 243-5656

73 Thomas Johnson Dr
Ste A
Frederick, MD 21702
Phone (301) 662-1601

73 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 662-1601

7810 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (301) 228-2666

12916 Conamar Dr
Ste 104
Hagerstown, MD 21742
Phone (301) 733-4944

17301 Valley Mall Rd
Hagerstown, MD 21740
Phone (240) 850-2002

1725B Dual Hwy
Hagerstown, MD 21740
Phone (301) 739-6573

14929 Shady Grove Rd
Unit K
Rockville, MD 20850
Phone (301) 424-1050

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 5

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1801469523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17301 VALLEY MALL RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406966",
            "telephone_number": "301-582-1771",
            "fax_number": "301-582-4681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725B Dual Hwy",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217406653",
            "country_code": "US",
            "telephone_number": "301-739-6573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDWAI",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "TSAY",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.