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DR. AYOMIDE OYINDAMOLA OSIBANJO OD
NPI 1528707064
Optometrist in Fort Worth, TX

Active since June 02, 2022PECOS EnrolledAccepts Medicare Assignment
4372 DULLES DR APT 7209, FORT WORTH, TX 76155(901) 692-8350 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ayomide Oyindamola Osibanjo Od NPPES

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

DR. AYOMIDE OYINDAMOLA OSIBANJO OD (NPI 1528707064) is an individual optometrist in Fort Worth, Texas, licensed in Texas (10393T) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528707064
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. AYOMIDE OYINDAMOLA OSIBANJOCredential: OD
Location Address4372 DULLES DR APT 7209Fort Worth, TX 76155-3533
Mailing Address4372 Dulles Dr Apt 7209Fort Worth, TX 76155-3533 · (901) 692-8350
Phone(901) 692-8350
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 2, 2022
Last NPPES UpdateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1528707064 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 · 10393T
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.
4372 DULLES DR APT 7209, Fort Worth, TX 76155
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ayomide Oyindamola Osibanjo Od 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 ID8820468697
PECOS Enrollment IDI20230112001578
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.

Areas of Expertise CMS Part B claims 3

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.
26 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.
16 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76155 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.

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 Ayomide Osibanjo's NPI number?

The NPI number for Ayomide Osibanjo is 1528707064. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Where is Ayomide Osibanjo located?

Ayomide Osibanjo practices at 4372 Dulles Dr Apt 7209, Fort Worth, TX 76155. The listed phone number is (901) 692-8350.

What is Ayomide Osibanjo's specialty?

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

Is Ayomide Osibanjo enrolled in Medicare?

Yes. Ayomide Osibanjo 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 Ayomide Osibanjo accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Ayomide Osibanjo 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 Ayomide Osibanjo was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.