Active NPI
Mazen Naji Sahawneh, OD
- Optometrist
- Mobile, AL
National Provider Identifier
1013005354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S446TA263
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optical Dimensions | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.