JUSTIN OBANA (O.D.) – Optometrist, NPI 1467736439

JUSTIN OBANA (O.D.) is a healthcare provider. based in White river junction, Vermont. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046.010927 (IL). The NPI Number for JUSTIN OBANA (O.D.) is 1467736439

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN OBANA (O.D.)
NPI
1467736439
Phone
Not provided
Address
215 N MAIN ST
Enumeration Date
7 October 2011
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177611726
Graduation Year
2015 (11 years ago)
PAC ID
6204244569
Group Practice PAC ID
5991123168
Professional Enrollment ID
I20210426002723
Address ID
TX761165525FT6224XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Digital endpointsOther names

3,129 OPTOMETRY in TX

Provider Addresses for JUSTIN OBANA (O.D.)

  • 215 N MAIN ST

    DESK 100

    WHITE RIVER JUNCTION, VT 050090001

    Phone:

    Type: Mailing

  • 818 N HIGHWAY 67

    STE 104

    CEDAR HILL, TX 751042102

    Phone:

    Type: Mailing

  • 1201 ELM ST

    DALLAS, TX 752702102

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $1,188.

Total Amount is formed as General ($1,188) + Research ($0) + Ownership ($0) = $1,188.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($323).

Total Amount

$1,188

General + Research + Ownership

Payments

25

Total payment records

General Amount

$1,188

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210426002723IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05009)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991123168View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

Does JUSTIN OBANA (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JUSTIN OBANA (O.D.) uses 1467736439.
Is JUSTIN OBANA (O.D.) listed as active for patients and plans?
The listing shows JUSTIN OBANA (O.D.) as active in the NPI system.
What taxonomy line describes JUSTIN OBANA (O.D.)?
For research purposes, treat JUSTIN OBANA (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JUSTIN OBANA (O.D.)?
JUSTIN OBANA (O.D.)'s geographic hint is White River Junction, Vermont in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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