Individual provider Active NPI

Oteng Boadu, OD

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1790732675
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6570TG Issued in TX
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706001008 TX Practitioner - Optometry 6204872708 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Oten Eye Care and Associates Optometrist CurrentSince Aug 23, 2004 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.

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

Verify at the official NPI Registry.