Damilola Lajubutu, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1994 Issued in AZ

Practice address

2270 E Fry Blvd
Sierra Vista, AZ 85635-2737

Phone

(520) 459-7466

NPI assigned

Aug 4, 2014

Sex

Female

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 AZ

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

Locations

Interoperability endpoints

• Direct secure messaging: dr.damilola.lajubutu@direct.eyecare-partners.com
• FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

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.

• Arizona Family Vision Center, P.C.

  • Optometrist
  • Phoenix, AZ
  • NPI 1487781860

  AZ, Optometrist

  Medicare reassignment NPD
• Desert Eye, PC

  • Optometrist
  • Tempe, AZ
  • NPI 1922314905

  AZ, Optometrist

  Medicare reassignment NPD
• Nationwide Optometry P.C.

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945

  AZ, Optometrist

  Medicare reassignment NPD
• Nationwide Optometry P.C.

  • Optometrist
  • Sun City West, AZ
  • NPI 1427374347
  NPD

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419120000000",
    "number": "1629487608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N HIGHWAY 90 BYP",
            "address_2": "SUITE B3",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 E FRY BLVD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352737",
            "telephone_number": "520-459-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJUBUTU",
        "first_name": "DAMILOLA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1994",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Thomas Kunstman, DDS
• Michael Sherman Kutch
• Kynetic Health, PLLC
• Scott Lacy, LPC
• Jobeth Ladd
• Lori Lam
• Rebecca Lamas, FNP
• Gretchen Diane Lamberth, OTR
• Larry D. Bloom, DDS, PA
• Andrew Navindra Latchman, M.D.

• All providers in Sierra Vista, AZ
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2014; 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.