Individual provider Active NPI

Michael Tojake Ukwade, O.D., PHD.

  • Specialist
  • Houston, TX
National Provider Identifier
1174604250
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
TX4037 Issued in TX
Practice address
2402 Bay Area Blvd
Suite F
Houston, TX 77058-1565
Phone
(281) 488-4774
Fax
(281) 488-4775
NPI assigned
Oct 17, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4037TG TX
Specialist 174400000X TX4037 TX Primary

Addresses

Primary practice location

2402 Bay Area Blvd
Suite F
Houston, TX 77058-1565

Mailing address

2402 Bay Area Blvd
Suite F
Houston, TX 77058-1565
Phone (281) 488-4774

Other identifiers 7

IdentifierTypeStateIssuer
81019QOtherBLUECROSS BLUESHIELD
26172OtherSPECTERA
TX4037OtherEYEMED
TX4037OtherTXECPA
50739OtherDAVIS VISION
PIN 33752OtherAVESIS
TX04037OtherVISION BENEFITS OF AMERIC

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4037TGTXMDOptometrist
TX4037TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Eyecare PLLC Optometrist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174604250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 BAY AREA BLVD",
            "address_2": "SUITE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770581565",
            "telephone_number": "281-488-4774",
            "fax_number": "281-488-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 BAY AREA BLVD",
            "address_2": "SUITE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770581565",
            "telephone_number": "281-488-4774",
            "fax_number": "281-488-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKWADE",
        "first_name": "MICHAEL",
        "middle_name": "TOJAKE",
        "name_prefix": "Dr.",
        "credential": "O.D., PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4037TG",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "TX4037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "81019Q",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "26172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "TX4037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECPA",
            "identifier": "TX4037",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "50739",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "PIN 33752",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERIC",
            "identifier": "TX04037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.