Individual provider Active NPI

Clement Isioma Nwadozi, O.D

  • Optometrist
  • Lansing, MI
National Provider Identifier
1548713456
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2901 Issued in OK
Practice address
5020 W Saginaw Hwy
Lansing, MI 48917-2625
Phone
(989) 627-4439
Fax
(517) 703-9066
NPI assigned
Jul 27, 2016
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2901 OK Primary

Addresses

Primary practice location

5020 W Saginaw Hwy
Lansing, MI 48917-2625

Mailing address

5020 W Saginaw Hwy
Lansing, MI 48917-2625
Phone (989) 627-4439

Other identifiers 1

IdentifierTypeStateIssuer
2901OtherOKOKLAHOMA STATE BOARD LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160928000680 TX Practitioner - Optometry 6406143825 Reassigns benefits to 1 organization
I20161010002171 OK Practitioner - Optometry 6406143825 Reassigns benefits to 1 organization
I20170427000077 MI Practitioner - Optometry 6406143825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Waterloo - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5020 W Saginaw Hwy
Lansing, MI 48917-2625
Phone (989) 627-4439

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Jul 19, 2016 Accepting new patients
Abp Eyesite PC Optometrist CurrentSince Jun 1, 2017 Accepting new patients
Northeastern State University College of Optometry Optometrist CurrentSince Jul 19, 2016 Accepting new patients
Izodawn Eye Care PC Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Cherokee Nation CurrentSince Jul 19, 2016 Accepting new patients
Cherokee Nation Current Accepting new patients
Laingsburg Eye Care P.C. Optometrist Past Accepting new patients

Locations

5020 W Saginaw Hwy
Lansing, MI 48917
Phone (517) 321-7644

1234 E Broomfield St
Ste 6
Mt Pleasant, MI 48858
Phone (989) 773-2020

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1001 N Grand Ave
Tahlequah, OK 74464
Phone (918) 456-5511

870 E Crafton St
Tahlequah, OK 74464
Phone (918) 444-4000

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 7

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1548713456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 W SAGINAW HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172625",
            "telephone_number": "989-627-4439",
            "fax_number": "517-703-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 W SAGINAW HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172625",
            "telephone_number": "989-627-4439",
            "fax_number": "517-703-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWADOZI",
        "first_name": "CLEMENT",
        "middle_name": "ISIOMA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE BOARD LICENSE NUMBER",
            "identifier": "2901",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.