Individual provider Active NPI

Obinna Ferdinand Akano, OD, DRPH

  • Optometrist
  • Bronx, NY
National Provider Identifier
1104101260
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007797 Issued in NY
Practice address
2742A E Tremont Ave
Bronx, NY 10461-2808
Phone
(718) 684-5634
Fax
(380) 333-9618
NPI assigned
Oct 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007797 NY Primary

Addresses

Primary practice location

2742A E Tremont Ave
Bronx, NY 10461-2808

Mailing address

2742A E Tremont Ave
Bronx, NY 10461-2808
Phone (718) 684-5634

Other identifiers 1

IdentifierTypeStateIssuer
03454515MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20121001000059 NY Practitioner - Optometry 1850540204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2742 A E Tremont Ave
Bronx, NY 10461-2808
Phone (718) 684-5634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center Inc Optometrist CurrentSince Mar 19, 2022 Accepting new patients
I and Eye Optometry PC Optometrist CurrentSince Aug 10, 2012 Accepting new patients
Empire Vision Center, Inc CurrentSince Mar 19, 2022 Accepting new patients
Williams Eye Works, Inc Optometrist PastSince Apr 27, 2023 Accepting new patients
Bay Plaza Eyecare, LLC PastSince Aug 26, 2017 Accepting new patients

Locations

2742 E Tremont Ave
Bronx, NY 10461
Phone (347) 422-7380

2742A E Tremont Ave
Bronx, NY 10461
Phone (347) 422-7380

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

5653 E Circle Dr
Cicero, NY 13039
Phone (315) 458-1216

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1104101260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742A E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612808",
            "telephone_number": "718-684-5634",
            "fax_number": "380-333-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2742A E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612808",
            "telephone_number": "718-684-5634",
            "fax_number": "380-333-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKANO",
        "first_name": "OBINNA",
        "middle_name": "FERDINAND",
        "name_prefix": "Dr.",
        "credential": "OD, DRPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03454515",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.