Individual provider Active NPI

Bilal Taher Ghanem, OD

  • Optometrist
  • Strongsville, OH
National Provider Identifier
1265969109
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006705 Issued in OH
Practice address
18054 Royalton Rd
Strongsville, OH 44136-5180
Phone
(440) 268-0765
NPI assigned
May 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5402 FL
Optometrist 152W00000X OPT.006705 OH Primary

Addresses

Primary practice location

18054 Royalton Rd
Strongsville, OH 44136-5180

Mailing address

18054 Royalton Rd
Strongsville, OH 44136-5180
Phone (440) 268-0765

Other practice location 1

104 W Vine St Ste C
Kissimmee, FL 34741-4430
Phone (407) 944-4240

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
I20190214001817 OH Practitioner - Optometry 2466727060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18054 Royalton Rd
Strongsville, OH 44136-5180
Phone (440) 268-0765

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5402FLMDOptometrist
OPT.006705OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ghanem & Associates LLC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

18054 Royalton Rd
Strongsville, OH 44136
Phone (440) 268-0765

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1265969109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18054 ROYALTON RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441365180",
            "telephone_number": "440-268-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18054 ROYALTON RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441365180",
            "telephone_number": "440-268-0765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 W Vine St Ste C",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414430",
            "country_code": "US",
            "telephone_number": "407-944-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHANEM",
        "first_name": "BILAL",
        "middle_name": "TAHER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5402",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.