Individual provider Active NPI

Omar Isbaih

  • Optometrist
  • Orlando, FL
National Provider Identifier
1083246953
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5768 Issued in FL
Practice address
330 N Alafaya TRL
Orlando, FL 32828-7000
Phone
(407) 208-1027
NPI assigned
Feb 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5768 FL Primary

Addresses

Primary practice location

330 N Alafaya TRL
Orlando, FL 32828-7000

Mailing address

204 Roscommon CT
Orlando, FL 32828-8203
Phone (321) 276-3424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200305000330 FL Practitioner - Optometry 0941637862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5768FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Feb 10, 2020 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince May 1, 2025 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince May 1, 2025 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

515 E Altamonte Dr
Ste 1024
Altamonte Springs, FL 32701
Phone (407) 831-1330

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

2254 W International Speedway Blvd
Daytona Beach, FL 32114
Phone (386) 252-3639

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

104 W Vine St
Ste C
Kissimmee, FL 34741
Phone (407) 944-4240

1150 E Vine St
Kissimmee, FL 34744
Phone (407) 931-2012

3635 US Highway 98 N
Lakeland, FL 33809
Phone (863) 937-9045

6300 N Wickham Rd
Ste 131
Melbourne, FL 32940
Phone (321) 751-7270

100 N Plumosa St
Merritt Island, FL 32953
Phone (321) 455-2950

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

9428 W Colonial Dr
Ocoee, FL 34761
Phone (407) 291-1921

9571 W Colonial Dr
Ocoee, FL 34761
Phone (407) 522-4705

901 Blanding Blvd
Ste 4
Orange Park, FL 32065
Phone (904) 562-1160

330 N Alafaya Trl
Orlando, FL 32828
Phone (407) 208-1027

1700 Sand Lake Rd
Ste D120
Orlando, FL 32809

3808 E Colonial Dr
Orlando, FL 32803
Phone (407) 894-7533

5020 E Colonial Dr
Orlando, FL 32803
Phone (321) 430-1266

3180 Northlake Blvd
Palm Beach Gardens, FL 33403
Phone (561) 844-8665

3345 S Congress Ave
Palm Springs, FL 33461
Phone (561) 964-0220

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1083246953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ROSCOMMON CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288203",
            "telephone_number": "321-276-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287000",
            "telephone_number": "407-208-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISBAIH",
        "first_name": "OMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.