Eseosa Christine Omoruyi

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2181 Issued in MD

Practice address

12164 Central Ave Ste 220
Bowie, MD 20721-1903

Phone

(301) 218-1862

Fax

(301) 218-1864

NPI assigned

Feb 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premier Eye Care Center LLC

  • Optometrist
  • Bowie, MD
  • NPI 1518224922

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1811219355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12164 CENTRAL AVE",
            "address_2": "STE 220",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211903",
            "telephone_number": "734-353-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12164 CENTRAL AVE STE 220",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211903",
            "telephone_number": "301-218-1862",
            "fax_number": "301-218-1864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Capital Centre Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207744815",
            "country_code": "US",
            "telephone_number": "301-333-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMORUYI",
        "first_name": "ESEOSA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modupe Omogoriola
• Obehi Omoijuanfo
• Adenike Omokhomion
• Johnson Olalere Omolewa
• Oluwatoyin Omope
• Adeyemi Omotosho
• Olusola Onabajo
• Folakemi Abimbola Onifade
• Margaret Onikute
• Cornelia Chibuzo Ononobi

• Optometrist in Bowie, MD
• Providers in Bowie, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.