Active NPI
Abolade Oduyemi, OD
- Optometrist
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009782
- Practice address
- 1133 Westchester Ave Ste 4
White Plains, NY 10604-3516 - Phone
- (917) 702-6045
- NPI assigned
- Apr 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3904 | MN | |
| Optometrist | 152W00000X | 114003 | IA | |
| Optometrist | 152W00000X | 3385 | CT | |
| Optometrist | 152W00000X | 3745 | WI | |
| Optometrist | 152W00000X | 009782 | NY | Primary |
Addresses
Primary practice location
1133 Westchester Ave Ste 4
White Plains, NY 10604-3516
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other practice location 1
1765 Central Park Ave
Yonkers, NY 10710-2828
Phone (914) 961-1004
Other practice location 2
1375 Kings Hwy Ste 300
Fairfield, CT 06824-5396
Phone (917) 702-6045
Other practice location 3
1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1765 Central Park Ave
Yonkers, NY 10710-2828
Phone (914) 961-1004
770 McLean Ave
Yonkers, NY 10704-3876
Phone (914) 803-0500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009782 | NY | MD | Counseling Psychologist |
| 3385 | CT | MD | Optometrist |
| 3745 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brokea Inc. | Optometrist | Current | Accepting new patients |
| Eye Studio | Optometrist | Past | Accepting new patients |
Locations
13195 Weaver Lake Rd
Maple Grove, MN 55369
Phone (763) 420-5112
Interoperability endpoints
- aoduyemi656254@direct.gundersenhealth.org
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1588306641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 WESTCHESTER AVE STE 4",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106043516",
"telephone_number": "917-702-6045"
}
],
"practiceLocations": [
{
"address_1": "1765 Central Park Ave",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107102828",
"country_code": "US",
"telephone_number": "914-961-1004",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1375 Kings Hwy Ste 300",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CT",
"postal_code": "068245396",
"country_code": "US",
"telephone_number": "917-702-6045",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1836 South Ave",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546015429",
"country_code": "US",
"telephone_number": "608-782-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODUYEMI",
"first_name": "ABOLADE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-10",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3904",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "114003",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "3385",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3745",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.