Active NPI
Sameh Samir Farag, OD7295
- Optician
- Orlando, FL
National Provider Identifier
1043087117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO7295
- Practice address
- 9498 S Orange Blossom TRL
Orlando, FL 32837-8322 - Phone
- (407) 351-1433
- Fax
- (407) 351-1433
- NPI assigned
- Dec 7, 2023
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DO7295 | FL | Primary |
Addresses
Primary practice location
9498 S Orange Blossom TRL
Orlando, FL 32837-8322
Mailing address
12741 Boggy Pointe Drive
Orlando, FL 32824
Phone (407) 438-0274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO7295 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc | Optician | Past | Accepting new patients |
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": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1043087117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12741 BOGGY POINTE DRIVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32824",
"telephone_number": "407-438-0274",
"fax_number": "407-438-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9498 S ORANGE BLOSSOM TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328378322",
"telephone_number": "407-351-1433",
"fax_number": "407-351-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAG",
"first_name": "SAMEH",
"middle_name": "SAMIR",
"name_prefix": "Mr.",
"credential": "OD7295",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO7295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.