IndividualActive
Adesola Fadeyi, OD
NPI 1477081271 · Optometrist · Burleson, TX
Provider details
- NPI number
- 1477081271
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9197 (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1169 N Burleson Blvd Ste 121
Burleson, TX 76028-7011
Phone: (817) 426-6060
Fax: (817) 426-2978
Approximate (ZIP-level) locationGet directions
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Registry dates
- Enumerated
- 2017-05-24
- Last updated
- 2021-05-11
- Certified
- 2021-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.