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Dr. Oteng Boadu, OD

Optometrist in Fort Worth, TX. Individual provider (NPI-1).

NPI number1790732675
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1790732675
Entity type
Individual (NPI-1)
Name
Dr. Oteng Boadu
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
May 27, 2006
Last updated
Jul 13, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - OPTOMETRY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist6570TGTXYes

Practice location

3851 Airport Fwy
Fort Worth, TX 76111-5906

Phone 817-831-0448 · Fax 817-831-0464

Mailing address

633 Rosarita Rd
Arlington, TX 76002-4205

Phone 817-831-0448 · Fax 817-831-0464

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Fort Worth, TX

All 249 Optometrist providers in Fort Worth · All 20,155 providers in Fort Worth

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