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DAMILOLA LAJUBUTU O.D.
NPI 1629487608
Optometrist in Sierra Vista, AZ

Active since August 04, 2014PECOS Enrolled
2270 E FRY BLVD, SIERRA VISTA, AZ 85635(520) 459-7466 Get Directions Write a Review

NPPES record last updated: December 21, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Damilola Lajubutu O.d. NPPES

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

DAMILOLA LAJUBUTU O.D. (NPI 1629487608) is an individual optometrist in Sierra Vista, Arizona, licensed in Arizona (1994) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629487608
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDAMILOLA LAJUBUTUCredential: O.D.
Location Address2270 E FRY BLVDSierra Vista, AZ 85635-2737
Mailing Address440 N Highway 90 Byp, Suite B3Sierra Vista, AZ 85635-2294
Phone(520) 459-7466
Sole ProprietorYes
Enumeration DateAugust 4, 2014
Last NPPES UpdateDecember 21, 2014
✔ NPI 1629487608 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 AZ · 1994✔ Licensed in CA · 14983
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.
2270 E FRY BLVD, Sierra Vista, AZ 85635
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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)

Damilola Lajubutu 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

3

Medicare enrollment records show Damilola Lajubutu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Desert Eye, PC
159 mi
Optometrist
3200 S RURAL RD, STE 1
Tempe, AZ 85282
  • Reassigned Medicare billing, Arizona enrollment
  • 7 clinicians in this Medicare group
NPI 1922314905 (480) 966-0522
Arizona Family Vision Center, P.C.
162 mi
Optometrist
2320 E BASELINE RD, SUITE #145
Phoenix, AZ 85042
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1487781860 (602) 243-9455
Nationwide Optometry P.C.
163 mi
Optometrist
2040 E RIO SALADO PKWY STE 120
Tempe, AZ 85288
  • Reassigned Medicare billing, Arizona enrollment
  • 139 clinicians in this Medicare group
NPI 1326472945 (480) 966-4992

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 85635 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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

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

RCS MANAGEMENT CORP
Durable Medical Equipment & Medical Supplies
2270 E FRY BLVD, SUITE 5
SIERRA VISTA, AZ 85635
Cochise County (520) 458-7330

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 Damilola Lajubutu's NPI number?

The NPI number for Damilola Lajubutu is 1629487608. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Where is Damilola Lajubutu located?

Damilola Lajubutu practices at 2270 E Fry Blvd, Sierra Vista, AZ 85635. The listed phone number is (520) 459-7466.

What is Damilola Lajubutu's specialty?

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

Is Damilola Lajubutu enrolled in Medicare?

Yes. Damilola Lajubutu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Damilola Lajubutu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Damilola Lajubutu reassigns Medicare benefits to 3 organizations: Desert Eye, PC (Tempe, AZ), Arizona Family Vision Center, P.C. (Phoenix, AZ) and Nationwide Optometry P.C. (Tempe, AZ). 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 Damilola Lajubutu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Damilola Lajubutu 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 and 7 other insurers list Damilola Lajubutu 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 Damilola Lajubutu was last updated on December 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.