DR. DESTINY MBIDOAKA OD
NPI 1942957683
Optometrist in El Paso, TX

Active since March 02, 2022PECOS Enrolled
8894 GATEWAY N BLVD, EL PASO, TX 79904(915) 747-7960 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 1, 2023, Mar 2, 2022 (2 updates tracked since 2022).

About Dr. Destiny Mbidoaka Od NPPES

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

DR. DESTINY MBIDOAKA OD (NPI 1942957683) is an individual optometrist in El Paso, Texas, licensed in Texas (10501TG) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942957683
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DESTINY MBIDOAKACredential: OD
Location Address8894 GATEWAY N BLVDEl Paso, TX 79904
Mailing Address111 E 4th St Ste 440Alton, IL 62002-6206 · (618) 462-9818
Sole ProprietorNo
Enumeration DateMarch 2, 2022
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
NPI 1942957683 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 · 10501TG
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.

8894 GATEWAY N BLVD, El Paso, TX 79904

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Destiny Mbidoaka Od 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79904 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

The NPI number assigned to this healthcare provider is 1942957683, enumerated as an "individual" on March 02, 2022.

The provider is located at 8894 GATEWAY N BLVD EL PASO, TX 79904 and the phone number is (915) 747-7960.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.