Justin Obana, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8773TG Issued in TX

Practice address

1201 Elm St
Dallas, TX 75270-2102

Phone

(214) 651-1000

NPI assigned

Oct 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Txo 2 0 PLLCGroup PAC ID 5991123168, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Txo 2 0 PLLC

  • Optometrist
  • Dallas, TX
  • NPI 1427675073
  Medicare reassignment Care Compare group NPD
• Jerry S. Jacobs, O.D., P.C.

  dba Dr. Jerry Jacobs

  • Optometrist
  • Dallas, TX
  • NPI 1811288020
  NPD

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1467736439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ELM ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752702102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ELM ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752702102",
            "telephone_number": "214-651-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBANA",
        "first_name": "JUSTIN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-07",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010927",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8773TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• OB on Site, PLLC
• Oba's Medical Transportation LLC
• Adebisi I Obafemi, MD
• Tolulope Obafemi, MD
• Ayuk Obale
• Julio E Obando, DDS
• Osahon Osarumen Obanor
• Daffney Veals Obare
• Eki Jennifer Obazee
• Olivia Obazughanmwen, APRN, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.