Individual provider Active NPI

Omar Amjad Sweidan, OD

  • Optometrist
  • Lima, OH
National Provider Identifier
1285972646
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT6718 Issued in OH
Practice address
2155 Allentown Rd
Lima, OH 45805-1789
Phone
(419) 228-3800
NPI assigned
Jan 19, 2013
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 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 4901004747 MI
Optometrist 152W00000X OPT6718 OH Primary

Addresses

Primary practice location

2155 Allentown Rd
Lima, OH 45805-1789

Mailing address

323 S Main St Ste 301
Findlay, OH 45840-3327
Phone (734) 730-5864

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
I20190312003213 OH Practitioner - Optometry 7315192358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

33541 Aurora Rd
Solon, OH 44139-3705
Phone (440) 248-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT6718OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Feb 19, 2020 Accepting new patients
Canton Optique, LLC Optometrist CurrentSince Jan 26, 2020 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Feb 19, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

41840 Ford Rd
Canton, MI 48187
Phone (734) 981-1760

2155 Allentown Rd
Lima, OH 45805
Phone (419) 228-3800

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1358553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1285972646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S MAIN ST STE 301",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403327",
            "telephone_number": "734-730-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051789",
            "telephone_number": "419-228-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEIDAN",
        "first_name": "OMAR",
        "middle_name": "AMJAD",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-19",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004747",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT6718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.