Active NPI
Mamdouh Hassan Zeini, M.D., PH.D
- Ophthalmology Physician
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME0071525
- Practice address
- 936 Bichara Blvd
Lady Lake, FL 32159-7714 - Phone
- (352) 753-9888
- Fax
- (352) 753-0947
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME0071525 | FL | Primary |
Addresses
Primary practice location
936 Bichara Blvd
Lady Lake, FL 32159-7714
Mailing address
936 Bichara Blvd
Lady Lake, FL 32159-7714
Phone (352) 753-9888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251540700 | Medicaid | FL |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3479 Wedgewood LN
The Villages, FL 32162-7183
Phone (352) 751-0600
936 Bichara Blvd
Lady Lake, FL 32159-7714
Phone (352) 753-9888
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.35 of 100
- Quality
- 96.7
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 84 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0071525 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Surgical and Medical Eye Care P a | Ophthalmology | Current | Accepting new patients |
| Advanced Surgical and Medical Eye Care P a | Ophthalmology | Current | Accepting new patients |
| Advanced Surgical and Medical Eye Care | Ophthalmology | Past | Accepting new patients |
| Ocala FL ASC LLC | Past | Accepting new patients |
Locations
936 Bichara Blvd
Lady Lake, FL 32159
Phone (352) 753-9888
2381 SW College Rd
Ocala, FL 34471
Phone (352) 351-2020
3479 Wedgewood Ln
The Villages, FL 32162
Phone (352) 751-0060
Interoperability endpoints
- direct@advancedsurgmedeyecarepaladylakefl.compulinkdirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba EYES at The Villages
- Ophthalmology Physician
- Lady Lake, FL
- NPI 1285670117
-
dba Eyes at the Villages
- Ophthalmology Physician
- The Villages, FL
- NPI 1477730653
-
dba EYES At The Villages
- Ophthalmology Physician
- The Villages, FL
- NPI 1669650305
-
dba Laser & Surgery Center
- Ambulatory Surgical Clinic/Center
- Ocala, FL
- NPI 1285609602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1184794372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 BICHARA BLVD",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321597714",
"telephone_number": "352-753-9888",
"fax_number": "352-753-0947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 BICHARA BLVD",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321597714",
"telephone_number": "352-753-9888",
"fax_number": "352-753-0947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEINI",
"first_name": "MAMDOUH",
"middle_name": "HASSAN",
"credential": "M.D., PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME0071525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251540700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.