Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ayomide Oyindamola Osibanjo, OD

Individual provider Optometrist · NPI 1528707064

Dr. Ayomide Oyindamola Osibanjo, OD is an Optometry in Fort Worth, Texas. Qualified in 2021, 5 years ago. Practices with Aeg Texas Professional PLLC, a 228-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2022
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4372 Dulles Dr Apt 7209
Fort Worth, TX 76155-3533
Phone: (901) 692-8350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 10393T (TX)

Record details

NPI number1528707064
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 2, 2022
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Aeg Texas Professional Pllc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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