Individual provider Active NPI

Osamede Sunday Odiase, O.D

  • Optometrist
  • Chico, CA
National Provider Identifier
1891983219
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13373T Issued in CA
Practice address
2044 Forest Ave
Chico, CA 95928-7619
Phone
(530) 899-8175
Fax
(530) 899-1166
NPI assigned
Oct 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13373T CA Primary

Addresses

Primary practice location

2044 Forest Ave
Chico, CA 95928-7619

Mailing address

2044 Forest Ave
Chico, CA 95928-7619
Phone (530) 899-8175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150121000660 CA Practitioner - Optometry 3072694868 Reassigns benefits to 2 organizations
Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2840 Cohasset Rd
Chico, CA 95973-0909
Phone (530) 899-8175

Merit-based Incentive Payment System (MIPS)

Final score
89.34 of 100Reported as group
Quality
89.89
Improvement activities
40
Cost
77.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13373CAMDOptometrist
13373TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chico Eye Center Medical Group CurrentSince Jan 4, 2021 Accepting new patients
Osamede Odiase OD Inc Optometrist CurrentSince May 15, 2024 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

3401 Esplanade
Chico, CA 95973
Phone (530) 895-1727

2840 Cohasset Rd
Cohasset, CA 95973
Phone (530) 899-8175

Interoperability endpoints

  • Direct secure messaging: osamede.odiase.p1@direct.chicoeye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1891983219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 FOREST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287619",
            "telephone_number": "530-899-8175",
            "fax_number": "530-899-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 FOREST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287619",
            "telephone_number": "530-899-8175",
            "fax_number": "530-899-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIASE",
        "first_name": "OSAMEDE",
        "middle_name": "SUNDAY",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13373T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.