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ADEKUNLE EMMANUEL OLUWADARE OD MSC
NPI 1215925078
Optometrist - Corneal and Contact Management in Dacula, GA

Active since October 06, 2005PECOS Enrolled
1342 AUBURN RD, DACULA, GA 30019(770) 237-8150(678) 889-9546 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adekunle Emmanuel Oluwadare Od Msc NPPES

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

ADEKUNLE EMMANUEL OLUWADARE OD MSC (NPI 1215925078) is an individual corneal and contact management provider in Dacula, Georgia, licensed in Georgia (GA2345) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Buford, and is a graduate of Pennsylvania College Of Optometry (2005).

NPPES Registry Identity

NPI1215925078
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameADEKUNLE EMMANUEL OLUWADARECredential: OD MSC
Location Address1342 AUBURN RDDacula, GA 30019-1674
Mailing Address3592 Huddlestone LnBuford, GA 30519-4652 · (610) 800-1125
Phone(770) 237-8150
Fax(678) 889-9546
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2005
Enumeration DateOctober 6, 2005
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
✔ NPI 1215925078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in GA · GA2345
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometristTaxonomy 152W00000X · License OEG001715 (PA)
1342 AUBURN RD, Dacula, GA 30019
Open in Google Maps ↗

Secondary Practice Location 1

Location 11550 Mall Of Georgia BlvdBuford, GA 30519-6551 · Phone (678) 288-3024 · Fax (678) 894-4153

Other Identifiers 1

OtherGA2345GA · License To Practice Optometry

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adekunle Emmanuel Oluwadare Od Msc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294753828
PECOS Enrollment IDI20080430000533
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Adekunle Oluwadare reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Victory Eyecare LLC
Same address
Optometrist
1342 AUBURN RD
Dacula, GA 30019
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1164695045 (678) 482-1324
Eyewatch Eye Care And Associates LLC
5.2 mi
Optometrist
1550 MALL OF GEORGIA BLVD
Buford, GA 30519
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1205127925 (678) 288-3024

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
45 services44 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
28 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30019 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

VICTORY EYECARE LLC
Optometrist
1342 AUBURN RD
DACULA, GA 30019
Gwinnett County (678) 482-1324
HARBINS HEALTHCARE INC
Chiropractor
1342 AUBURN RD, SUITE 114
DACULA, GA 30019
Gwinnett County (770) 237-5534

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 Adekunle Oluwadare's NPI number?

The NPI number for Adekunle Oluwadare is 1215925078. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Adekunle Oluwadare located?

Adekunle Oluwadare practices at 1342 Auburn Rd, Dacula, GA 30019. The listed phone number is (770) 237-8150.

What is Adekunle Oluwadare's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Adekunle Oluwadare enrolled in Medicare?

Yes. Adekunle Oluwadare is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adekunle Oluwadare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adekunle Oluwadare reassigns Medicare benefits to 2 organizations: Victory Eyecare LLC (Dacula, GA) and Eyewatch Eye Care And Associates LLC (Buford, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adekunle Oluwadare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adekunle Oluwadare accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health Insurance and 6 other insurers list Adekunle Oluwadare 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 Adekunle Oluwadare was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.