ABOLADE ODUYEMI OD
NPI 1588306641
Optometrist in White Plains, NY

Active since April 10, 2022PECOS EnrolledAccepts Medicare Assignment
1133 WESTCHESTER AVE STE 4, WHITE PLAINS, NY 10604(917) 702-6045 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2025, Aug 26, 2022, Apr 10, 2022 (3 updates tracked since 2022).

About Abolade Oduyemi Od NPPES

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

ABOLADE ODUYEMI OD (NPI 1588306641) is an individual optometrist in White Plains, New York, licensed in New York (009782) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1588306641
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameABOLADE ODUYEMICredential: OD
Location Address1133 WESTCHESTER AVE STE 4White Plains, NY 10604-3516
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 10, 2022
Last NPPES UpdateFebruary 24, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1588306641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NY · 009782✔ Licensed in MN · 3904✔ Licensed in IA · 114003✔ Licensed in CT · 3385✔ Licensed in WI · 3745
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.
1133 WESTCHESTER AVE STE 4, White Plains, NY 10604

Secondary Practice Locations 3

Location 11765 Central Park AveYonkers, NY 10710-2828 · Phone (914) 961-1004
Location 21836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300
Location 31375 Kings Hwy Ste 300Fairfield, CT 06824-5396 · Phone (917) 702-6045

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abolade Oduyemi 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 ID4688058373
PECOS Enrollment IDI20240115001563
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 Abolade Oduyemi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
1765 CENTRAL PARK AVE
Yonkers, NY 10710
  • Reassigned Medicare billing, New York enrollment
  • 95 clinicians in this Medicare group
1,035 mi
Optometrist
13195 WEAVER LAKE RD
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 17 clinicians in this Medicare group

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

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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10604 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 Abolade Oduyemi's NPI number?

The NPI number for Abolade Oduyemi is 1588306641. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is Abolade Oduyemi located?

Abolade Oduyemi practices at 1133 Westchester Ave Ste 4, White Plains, NY 10604. The listed phone number is (917) 702-6045.

What is Abolade Oduyemi's specialty?

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

Is Abolade Oduyemi enrolled in Medicare?

Yes. Abolade Oduyemi 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.

Which organizations bill Medicare for Abolade Oduyemi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abolade Oduyemi reassigns Medicare benefits to 2 organizations: 200 West Optics, LLC (Yonkers, NY) and Brokea Inc. (Maple Grove, MN). 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 Abolade Oduyemi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abolade Oduyemi accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Abolade Oduyemi 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 Abolade Oduyemi was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.