Paul Obasuyi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007786 Issued in NY

Practice address

9 Wakeman St
West Orange, NJ 07052-2114

Phone

(347) 866-6331

NPI assigned

Oct 4, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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 2

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.

• Ioe Vision Care LLC

  • Optometrist
  • West Orange, NJ
  • NPI 1164938346
  Medicare reassignment NPD Authorized official
• Bronx Vision Center Inc.

  • Optometrist
  • Bronx, NY
  • NPI 1952641821
  Medicare reassignment NPD
• Liberty Optical Corp

  • Optometrist
  • South Richmond Hill, NY
  • NPI 1235538596
  Medicare reassignment NPD
• Ag Vision Care LLC

  • Optometrist
  • Newark, NJ
  • NPI 1801456967
  NPD Authorized official

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730463118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WAKEMAN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522114",
            "telephone_number": "347-866-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WAKEMAN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522114",
            "telephone_number": "347-866-6331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Marshall St",
            "address_2": "Apt 6c",
            "address_purpose": "LOCATION",
            "city": "Irvington",
            "state": "NJ",
            "postal_code": "071113653",
            "country_code": "US",
            "telephone_number": "347-866-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBASUYI",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uchenna Joann Nwafili, DPT
• Nxstage Newark, LLC
• Sarah Elizabeth O'Connell, RN, NP
• Brian Kevin O'Connor, M.D.
• Joyce T O'Shea, APN, CNS
• Nneoma Sandra Odoemena, RPH
• Karen Odoemene
• Folarin Odusola, DDS, FAGD
• Ofmeme
• Folasade Oguntola

• Optometrist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.