Individual provider Active NPI

Mawada Osman, OD

  • Optometrist
  • Columbus, OH
National Provider Identifier
1043837925
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006864 Issued in OH
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

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820002867 OH Practitioner - Optometry 2466876859 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005450MIMDOptometrist
OPT.006864OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio State University CurrentSince Aug 9, 2021 Accepting new patients
Lutheran Social Services of Central Ohio Inc CurrentSince Jul 26, 2025 Accepting new patients
Lutheran Social Services of Central Ohio, Inc CurrentSince Jul 26, 2025 Accepting new patients
Ohio State University Optometrist CurrentSince Aug 9, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.