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DR. EVELYN OKAH AYIDU-OMO O.D
NPI 1437263647
Optometrist in Arlington, TX

Active since August 18, 2006PECOS Enrolled
4801 S COOPER ST, ARLINGTON, TX 76017(817) 419-9999(817) 375-1712 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Evelyn Okah Ayidu-omo O.d NPPES

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

DR. EVELYN OKAH AYIDU-OMO O.D (NPI 1437263647) is an individual optometrist in Arlington, Texas, licensed in Texas (6385T) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437263647
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. EVELYN OKAH AYIDU-OMOCredential: O.D
Location Address4801 S COOPER STArlington, TX 76017-5928
Mailing Address1005 Mazourka DrArlington, TX 76001-6119 · (817) 419-9999 · Fax (817) 375-1712
Phone(817) 419-9999
Fax(817) 375-1712
Sole ProprietorYes
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437263647 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 · 6385T
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.
4801 S COOPER ST, Arlington, TX 76017
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Other Identifiers 6

Other921667TX · Truvision(block)
Other341979359TX · Safeguard
Other49187TX · Davis Vision
Other0008FFTX · Blue Cross Blue Shield
Other743019386TX · Nva/always Vision
Other341979359TX · Spectera

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Dr. Evelyn Okah Ayidu-omo O.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Evelyn Ayidu-omo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sonie Family Eyecare PLLC
Same address
Primary Care
4801 S COOPER ST
Arlington, TX 76017
  • Reassigned Medicare billing, Texas enrollment
NPI 1407096985 (817) 419-9999
Med Southwest, PLLC
4.5 mi
Optometrist
5224 S STATE HIGHWAY 360 STE 200
Grand Prairie, TX 75052
  • Reassigned Medicare billing, Texas enrollment
  • 396 clinicians in this Medicare group
NPI 1932941705 (972) 602-4545

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76017 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 11

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

MS. DEMISHE FONTENOT FNP
Nurse Practitioner (Family)
4801 S COOPER ST
ARLINGTON, TX 76017
Tarrant County (817) 813-7101
WAL-MART STORES TEXAS LLC
Pharmacy (Community/Retail Pharmacy)
4801 S COOPER ST
ARLINGTON, TX 76017
Tarrant County (817) 465-2474
ROBIN HUGHES
Optometrist
4801 S COOPER ST, STE. 1801
ARLINGTON, TX 76017
Tarrant County (817) 419-9999
WAL-MART STORES TEXAS, LP
Eyewear Supplier
4801 S COOPER ST
ARLINGTON, TX 76017
Tarrant County (817) 465-1000
KRISTY ROBERTSON PHARMD
Pharmacist
4801 S COOPER ST
ARLINGTON, TX 76017
Tarrant County (817) 465-2474
SONIE FAMILY EYECARE PLLC
Clinic/Center (Primary Care)
4801 S COOPER ST
ARLINGTON, TX 76017
Tarrant County (817) 419-9999
BAO TRAM PHAM
Pharmacist
4801 S COOPER ST
ARLINGTON, TX 76017
Tarrant County (817) 465-2474
LAVEA ANMARIE LANDRUM DNP
Nurse Practitioner (Family)
4801 S COOPER ST
ARLINGTON, TX 76017
Tarrant County (580) 647-8420

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 Evelyn Ayidu-omo's NPI number?

The NPI number for Evelyn Ayidu-omo is 1437263647. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Evelyn Ayidu-omo located?

Evelyn Ayidu-omo practices at 4801 S Cooper St, Arlington, TX 76017. The listed phone number is (817) 419-9999.

What is Evelyn Ayidu-omo's specialty?

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

Is Evelyn Ayidu-omo enrolled in Medicare?

Yes. Evelyn Ayidu-omo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Evelyn Ayidu-omo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Ayidu-omo reassigns Medicare benefits to 2 organizations: Sonie Family Eyecare PLLC (Arlington, TX) and Med Southwest, PLLC (Grand Prairie, TX). 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 Evelyn Ayidu-omo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evelyn Ayidu-omo accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 15 other insurers list Evelyn Ayidu-omo 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 Evelyn Ayidu-omo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.