Active NPI
Oteng Boadu, OD
- Optometrist
- Fort Worth, TX
National Provider Identifier
1790732675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6570TG
- Practice address
- 3851 Airport Fwy
Fort Worth, TX 76111-5906 - Phone
- (817) 831-0448
- Fax
- (817) 831-0464
- NPI assigned
- May 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6570TG | TX | Primary |
Addresses
Primary practice location
3851 Airport Fwy
Fort Worth, TX 76111-5906
Mailing address
633 Rosarita Rd
Arlington, TX 76002-4205
Phone (817) 831-0448
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3851 Airport Fwy
Fort Worth, TX 76111-5906
Phone (817) 831-0448
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oten Eye Care and Associates | Optometrist | Current | Accepting new patients |
Locations
3851 Airport Fwy
Ft Worth, TX 76111
Phone (817) 759-1926
Organizations & group practices 1
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.
-
- Optometrist
- Fort Worth, TX
- NPI 1396868352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790732675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 ROSARITA RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024205",
"telephone_number": "817-831-0448",
"fax_number": "817-831-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 AIRPORT FWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761115906",
"telephone_number": "817-831-0448",
"fax_number": "817-831-0464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOADU",
"first_name": "OTENG",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6570TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.