Ihab Massad

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

MTL002518 Issued in DC

Practice address

5597 Seminary Rd Apt 2417S
Falls Church, VA 22041-2923

Phone

(202) 415-5891

NPI assigned

Jul 16, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1164839601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5597 SEMINARY RD APT 2417S",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412923",
            "telephone_number": "202-415-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5597 SEMINARY RD APT 2417S",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412923",
            "telephone_number": "202-415-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAD",
        "first_name": "IHAB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "VA",
            "license": "0116026982",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MD",
            "license": "P29964",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "DC",
            "license": "MTL002518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Martino
• Rochelle P Mascarenhas, M.D.
• Catherine A Mason, LCSW
• Roslynn Mason, PA
• Mohamed I Masoud, BDS, DMSC
• Paul S Massimiano, M.D.
• Ryan Lee Mastropaolo, LPTA
• Michael Mastrostefano, PT, OCS, MTC
• Lisa M Masumoto, CRNA
• Mahrous Mata

• Pediatric Optometrist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Pediatric Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.