Active NPI
Mawada Osman, OD
- Optometrist
- Columbus, OH
National Provider Identifier
1043837925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.006864
- Practice address
- 1664 Neil Ave
Columbus, OH 43201-2333 - Phone
- (614) 292-2020
- Fax
- (614) 247-6626
- NPI assigned
- Jun 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.006864 | OH | Primary |
| Optometrist | 152W00000X | 4901005450 | MI |
Addresses
Primary practice location
1664 Neil Ave
Columbus, OH 43201-2333
Mailing address
1664 Neil Ave
Columbus, OH 43201-2333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005450 | MI | MD | Optometrist |
| OPT.006864 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio State University | Current | Accepting new patients | |
| Lutheran Social Services of Central Ohio Inc | Current | Accepting new patients | |
| Lutheran Social Services of Central Ohio, Inc | Current | Accepting new patients | |
| Ohio State University | Optometrist | Current | Accepting new patients |
| Lower Lights Christian Health Center Inc. | Past | Accepting new patients |
Locations
1664 Neil Ave
Columbus, OH 43201
Phone (614) 292-2020
245 N Grant Ave
Columbus, OH 43215
Phone (614) 224-6617
1160 W Broad St
Columbus, OH 43222
Phone (614) 947-7615
2225 N Cassady Ave
Columbus, OH 43219
Phone (614) 224-7200
Interoperability endpoints
- mosman644820@direct.ochin.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Columbus, OH
- NPI 1801317102
-
- Optometrist
- Columbus, OH
- NPI 1710900683
-
- Federally Qualified Health Center (FQHC)
- Columbus, OH
- NPI 1437621331
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Columbus, OH
- NPI 1730133729
-
- Federally Qualified Health Center (FQHC)
- Columbus, OH
- NPI 1770854473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1043837925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 NEIL AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432012333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 NEIL AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432012333",
"telephone_number": "614-292-2020",
"fax_number": "614-247-6626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMAN",
"first_name": "MAWADA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-26",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OPT.006864",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005450",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.