Osazuwa John Okundaye, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3828TG Issued in TX

Practice address

870 E Alton Gloor Blvd Ste a
Brownsville, TX 78526-3364

Phone

(956) 574-9002

Fax

(956) 575-0392

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Los Fresnos Eye Clinic & Optical Inc.

  • Optometrist
  • Los Fresnos, TX
  • NPI 1215115118
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1457563322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 E ALTON GLOOR BLVD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263364",
            "telephone_number": "956-574-9002",
            "fax_number": "956-574-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 E ALTON GLOOR BLVD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263364",
            "telephone_number": "956-574-9002",
            "fax_number": "956-575-0392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Waldron Rd Ste 510",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784182610",
            "country_code": "US",
            "telephone_number": "361-549-6700",
            "fax_number": "956-574-0392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 S Padre Island Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784151818",
            "country_code": "US",
            "telephone_number": "361-549-6700",
            "fax_number": "956-574-0392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKUNDAYE",
        "first_name": "OSAZUWA",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3828TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093448101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457563322",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281633201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriana Cecilia Ochoa
• Ocv Inc
• Ocv LLC
• Arthur Chester Ogborn Jr., MD
• Phyllis Chizomam Okereke, M.D
• Sandra Dee Olivares-Garcia, D.D.S.
• Magdalena Olivares
• Marisa Olivares, SLPA
• Rosa Emily Olivares
• Arturo B Olivarez Jr., REGISTERED PHARMACIS

• Optometrist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.