Individual provider Active NPI

Mohammed Elomari, OD

  • Optometrist
  • Wesley Chapel, FL
National Provider Identifier
1265307078
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6821 Issued in FL
Practice address
27835 Wesley Chapel Blvd Ste 110
Wesley Chapel, FL 33544-4201
Phone
(813) 907-9122
NPI assigned
Oct 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6821 FL Primary

Addresses

Primary practice location

27835 Wesley Chapel Blvd Ste 110
Wesley Chapel, FL 33544-4201

Mailing address

2240 Fairchild St
Pensacola, FL 32504-6519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6821FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA PastSince Oct 12, 2025 Accepting new patients
National Vision, Inc. PastSince Oct 12, 2025 Accepting new patients

Organizations & group practices 2

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": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1265307078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 FAIRCHILD ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27835 WESLEY CHAPEL BLVD STE 110",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444201",
            "telephone_number": "813-907-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELOMARI",
        "first_name": "MOHAMMED",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.