Individual provider Active NPI

Osasenaga West-Erhabor, O.D

  • Optometrist
  • Windsor Mill, MD
National Provider Identifier
1932817608
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2889 Issued in MD
Practice address
2925 Lord Baltimore Dr Ste 300
Windsor Mill, MD 21244-2660
Phone
(410) 277-3937
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2889 MD Primary

Addresses

Primary practice location

2925 Lord Baltimore Dr Ste 300
Windsor Mill, MD 21244-2660

Mailing address

2925 Lord Baltimore Dr Ste 300
Windsor Mill, MD 21244-2660
Phone (410) 277-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20221221000029 MD Practitioner - Optometry 9638549322 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians
Barenburg Optical Service, IncGroup PAC ID 4880582980, 12 clinicians

Practice addresses (Care Compare)

1809 Reisterstown Rd
Pikesville, MD 21208-6321
Phone (410) 484-6348

1829 Reisterstown Rd
Suite 210
Baltimore, MD 21208-7105
Phone (410) 653-0200

2936 Festival Way
Suite 409a
Waldorf, MD 20601-2957
Phone (301) 710-6919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2889MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Feb 1, 2023 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Feb 1, 2023 Accepting new patients
Canton Crossing Optometry, LLC Optometrist CurrentSince Feb 1, 2023 Accepting new patients
Barenburg Optical Service, Inc Optometrist CurrentSince Sep 25, 2023 Accepting new patients

Locations

1003 Northpoint Blvd
Ste 605
Baltimore, MD 21224
Phone (410) 282-3080

3715 Boston St
Baltimore, MD 21224
Phone (443) 839-0335

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

100 Park Ave
Baltimore, MD 21201
Phone (410) 727-0285

1311 Londontown Blvd
Ste 100
Eldersburg, MD 21784
Phone (410) 795-5588

1829 Reisterstown Rd
Ste 210
Pikesville, MD 21208
Phone (410) 653-0200

1809 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 484-6348

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
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": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1932817608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 LORD BALTIMORE DR STE 300",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442660",
            "telephone_number": "410-277-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 LORD BALTIMORE DR STE 300",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442660",
            "telephone_number": "410-277-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST-ERHABOR",
        "first_name": "OSASENAGA",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-01-16",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

Verify at the official NPI Registry.