Individual provider Active NPI

Mazen Naji Sahawneh, OD

  • Optometrist
  • Mobile, AL
National Provider Identifier
1013005354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S446TA263 Issued in AL
Practice address
6750 Airport Blvd Ste a
Mobile, AL 36608-3792
Phone
(251) 342-1223
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S446TA263 AL Primary

Addresses

Primary practice location

6750 Airport Blvd Ste a
Mobile, AL 36608-3792

Mailing address

1209 Government St
Mobile, AL 36604-2407
Phone (251) 690-9323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060327000747 AL Practitioner - Optometry 8921991647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6750 Airport Blvd a
Mobile, AL 36608-3792
Phone (251) 342-1905

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Dimensions CurrentSince Jan 1, 2001 Accepting new patients

Locations

3063 Dauphin St
Mobile, AL 36606
Phone (251) 473-4003

6750 Airport Blvd
Ste A
Mobile, AL 36608
Phone (251) 342-1223

Networks

  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • MS PPO D-SNP
  • TN PPO
  • MS PPO C-SNP
  • MS PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO D-SNP
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • TN PPO C-SNP
  • AL HMO

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013005354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 GOVERNMENT ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042407",
            "telephone_number": "251-690-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 AIRPORT BLVD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083792",
            "telephone_number": "251-342-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAWNEH",
        "first_name": "MAZEN",
        "middle_name": "NAJI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S446TA263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.