Active NPI
Nimi Sikri, OD
- Optometrist
- Glenarden, MD
National Provider Identifier
1912148560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2662
- Practice address
- 2400 Five Lees LN
Glenarden, MD 20706-1617 - Phone
- (301) 341-6753
- NPI assigned
- Mar 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA2662 | MD | Primary |
Addresses
Primary practice location
2400 Five Lees LN
Glenarden, MD 20706-1617
Mailing address
1405 S Fern St # 273
Arlington, VA 22202-2810
Phone (301) 341-6753
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0618001824 | Other | VA | LICENSE |
| TA2662 | Other | MD | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA2662 | MD | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561852800000",
"number": "1912148560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 S FERN ST # 273",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222022810",
"telephone_number": "301-341-6753",
"fax_number": "301-341-6754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 FIVE LEES LN",
"city": "GLENARDEN",
"state": "MD",
"postal_code": "207061617",
"telephone_number": "301-341-6753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIKRI",
"first_name": "NIMI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2019-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MD",
"license": "TA2662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0618001824",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "TA2662",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glenarden, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.