MEDICARE: DR. OTENG BOADU OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	6570TG	TX

General Provider Information

NPI Number	:	1790732675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OTENG BOADU OD

Provider Business Mailing Address
First Line	:	633 ROSARITA RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76002-4205
Country	:	US
Telephone Number	:	817-831-0448
Fax Number	:	817-831-0464

Provider Business Practice Location Address
First Line	:	3851 AIRPORT FWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76111-5906
Country	:	US
Telephone Number	:	817-831-0448
Fax Number	:	817-831-0464

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1902823065 — WAL-MART STORES TEXAS LLC
Practice Location Address:

3851 AIRPORT FWY
FORT WORTH, TX
76111-5906

Practice Phone: 817-759-1926
Practice Fax:

1669555272 — WAL-MART STORES TEXAS, LLC
Practice Location Address:

3851 AIRPORT FWY
FT WORTH, TX
76111-5906

Practice Phone: 817-759-2047
Practice Fax:

1396868352 — OTEN EYE CARE AND ASSOCIATES
Practice Location Address:

3851 AIRPORT FWY
FORT WORTH, TX
76111-5906

Practice Phone: 817-831-0448
Practice Fax: 817-831-0464

1013518505 — MICAH THAMES PHARMD
Practice Location Address:

3851 AIRPORT FWY
FORT WORTH, TX
76111-5906

Practice Phone: 817-759-1926
Practice Fax: 817-759-2739

1013506252 — LIEN KIM LE
Practice Location Address:

3851 AIRPORT FWY
FORT WORTH, TX
76111-5906

Practice Phone: 817-759-1926
Practice Fax:

1013076074 — DR. RODGER WADE HAMPTON DC
Practice Location Address:

9405 CROWLEY RD
FORT WORTH, TX
76134-5906

Practice Phone: 817-293-5355
Practice Fax:

Directions to “ DR. OTENG BOADU OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.