EMMANUEL GBOLABO
NPI 1104667153
Optometrist in Gun Barrel City, TX

Q: What is Emmanuel Gbolabo's NPI number?

The NPI number for Emmanuel Gbolabo is 1104667153. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Q: What is Emmanuel Gbolabo's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Emmanuel Gbolabo was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 04, 2024PECOS EnrolledAccepts Medicare Assignment

505 N GUN BARREL LN, GUN BARREL CITY, TX 75156(903) 887-7623 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 27, 2026, Jun 4, 2024 (2 updates tracked since 2024).

On this page

About Emmanuel Gbolabo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMANUEL GBOLABO (NPI 1104667153) is an individual optometrist in Gun Barrel City, Texas, licensed in Texas (11134) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Houston - College Of Optometry (2024).

NPPES Registry Identity

NPI1104667153

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameEMMANUEL GBOLABO

Location Address505 N GUN BARREL LNGun Barrel City, TX 75156-3732

Mailing AddressPo Box 200438Dallas, TX 75320-0438 · (877) 591-3106 · Fax (877) 591-3106

Phone(903) 887-7623

Sole ProprietorYes

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2024

Enumeration DateJune 4, 2024

Last NPPES UpdateJune 16, 20262 updates tracked since enumeration

NPPES CertifiedJune 16, 2026

✔ NPI 1104667153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 11134

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

505 N GUN BARREL LN, Gun Barrel City, TX 75156

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Secondary Practice Locations 2

Location 15494 Glen Lakes DrDallas, TX 75231-4308 · Phone (214) 692-6220

Location 23645 Dallas PkwyPlano, TX 75093-8181 · Phone (214) 440-5201

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emmanuel Gbolabo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850831231

PECOS Enrollment IDI20240912000282

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75156 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DALLAS EYE CARE ASSOCIATES PLLC

Clinic/Center

505 N GUN BARREL LN
GUN BARREL CITY, TX 75156

Henderson County (817) 784-0222

DR. MICHAEL RICHARD JAMES O.D.

Optometrist

505 N GUN BARREL LN
GUN BARREL CITY, TX 75156

Henderson County (817) 784-0222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmanuel Gbolabo's NPI number?

The NPI number for Emmanuel Gbolabo is 1104667153. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Emmanuel Gbolabo located?

Emmanuel Gbolabo practices at 505 N Gun Barrel Ln, Gun Barrel City, TX 75156. The listed phone number is (903) 887-7623.

What is Emmanuel Gbolabo's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Emmanuel Gbolabo enrolled in Medicare?

Yes. Emmanuel Gbolabo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Emmanuel Gbolabo accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Ambetter of Alabama and 9 other insurers list Emmanuel Gbolabo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emmanuel Gbolabo was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.