Oten Eye Care and Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

6570TG Issued in TX

Legal business name

OTEN EYE CARE AND ASSOCIATES

Practice address

3851 Airport Fwy
Fort Worth, TX 76111-5906

Phone

(817) 831-0448

Fax

(817) 831-0464

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Oteng Boadu, ODNPI 1790732675

Title

Owner

Phone

(817) 831-0448

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oteng Boadu, OD

  • Optometrist
  • Fort Worth, TX
  • NPI 1790732675
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1396868352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 AIRPORT FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761115906",
            "telephone_number": "817-831-0448",
            "fax_number": "817-831-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 AIRPORT FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761115906",
            "telephone_number": "817-831-0448",
            "fax_number": "817-831-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTEN EYE CARE AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "BOADU",
        "authorized_official_first_name": "OTENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-831-0448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6570TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174993101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bankole O Osuntokun, MD
• Jessica Oswald, MS, RD/LD
• Barry Fussell Oswalt, MD
• Floyd Shizuo Ota, MD
• Sarah Aderinola Otekunrin, DPT
• Enrique Otero, M.ED., L.P.C.
• Maria Isabel Otero
• Maria J Otero, BCBA
• Marta Elena Otero, PSY.D.
• Jerusha Otieno

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.