Olufunso Ibrahim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2606 Issued in MD

Practice address

10631 Greenbelt Rd # 301
Lanham, MD 20706-2282

Phone

(301) 979-9878

NPI assigned

Oct 10, 2017

Last updated

Apr 6, 2023By the provider in NPPES

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

Other names 1

• Olufunso Ojo Former name

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

Pennsylvania College of Optometry, 2017

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supreme Eye Care LLC

  dba Eye Site

  • Optometrist
  • Lanham, MD
  • NPI 1255097002

  DC

  Medicare reassignment NPD Authorized official
• National Vision, Inc.

  dba America's Best Contacts & Eyeglasses

  • Optometrist
  • Forestville, MD
  • NPI 1104857929
  NPD (past)

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1821508334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10631 GREENBELT RD # 301",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062282",
            "telephone_number": "301-979-9878",
            "fax_number": "301-979-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 GREENBELT RD # 301",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062282",
            "telephone_number": "301-979-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "OLUFUNSO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUFUNSO",
            "last_name": "OJO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Waseem Hussain, MD
• Saifudin Abdella Hussein, M.D
• Patrick Hyousse
• I-Focused, Inc.
• Caroline Ibijemilusi
• Mary Grace Lorenzana Ico
• Oboehi Comfort Idehai
• Abimbola Oluwakemi Idowu, HHA
• Adebayo Adeyemi Idowu
• Ugo Innocent Ignis

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.
• 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.