Chisom P Umogbai, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002335 Issued in AZ

Practice address

7046 E Golf Links Rd
Tucson, AZ 85730

Phone

(520) 790-0080

Fax

(520) 790-1191

NPI assigned

Jul 28, 2014

Sex

Female

Sole proprietor

No

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 DC, AZ2 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

Interoperability endpoints

• Direct secure messaging: dr.chisom.umogbai@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.

• Nationwide Optometry P.C.

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  • Health Maintenance Organization
  • Annapolis, MD
  • NPI 1952461816

  DC, Optometrist

  Medicare reassignment NPD
• Nationwide Optometry P.C.

  • Optometrist
  • Sun City West, AZ
  • NPI 1427374347
  NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1962108753
  NPD
• Visionworks, Inc.

  • Eyewear Supplier
  • Wheaton, MD
  • NPI 1770953044
  NPD (past)

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1881002376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654",
            "telephone_number": "480-961-1865",
            "fax_number": "480-893-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7046 E GOLF LINKS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85730",
            "telephone_number": "520-790-0080",
            "fax_number": "520-790-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11160 Veirs Mill Rd Spc P203A",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "MD",
            "postal_code": "209022565",
            "country_code": "US",
            "telephone_number": "301-933-3957",
            "fax_number": "301-933-3958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11160 Veirs Mill Rd Spc P203A",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "MD",
            "postal_code": "209022565",
            "country_code": "US",
            "telephone_number": "301-933-3957",
            "fax_number": "301-933-3958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4465 Willard Ave",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208153605",
            "country_code": "US",
            "telephone_number": "301-951-3373",
            "fax_number": "301-951-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMOGBAI",
        "first_name": "CHISOM",
        "middle_name": "P",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2411",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.