Individual provider Active NPI

Nicole Sharrette Stennett, OD

  • Optometrist
  • Columbia, MD
National Provider Identifier
1881123990
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2578 Issued in MD
Practice address
6455 Dobbin Rd Ste 47
Columbia, MD 21045-5828
Phone
(443) 542-5999
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2578 MD Primary

Addresses

Primary practice location

6455 Dobbin Rd Ste 47
Columbia, MD 21045-5828

Mailing address

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

Other practice location 1

6855 New Hampshire Ave
Takoma Park, MD 20912-4816
Phone (301) 891-6861

Other names 1

  • Nicole Simon Other 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
I20200724000364 MD Practitioner - Optometry 1153745013 Reassigns benefits to 1 organization
I20200805000213 DC Practitioner - Optometry 1153745013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Dec 12, 2024 Accepting new patients
National Vision, Inc. Optometrist Past Accepting new patients
Visionworks Inc. Past Accepting new patients

Locations

169 Jennifer Rd
Ste D
Annapolis, MD 21401
Phone (410) 224-0021

15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132

631 N Frederick Ave
Gaithersburg, MD 20879
Phone (301) 330-4927

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1881123990",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 DOBBIN RD STE 47",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455828",
            "telephone_number": "443-542-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6855 New Hampshire Ave",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "209124816",
            "country_code": "US",
            "telephone_number": "301-891-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STENNETT",
        "first_name": "NICOLE",
        "middle_name": "SHARRETTE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SIMON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.