Active NPI
Mona M Fahmy, OD
- Corneal and Contact Management Optometrist
- Bloomington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 3084
- Practice address
- 9801 Dupont Ave S Ste 200
Bloomington, MN 55431-3200 - Phone
- (528) 885-8009
- Fax
- (952) 567-6156
- NPI assigned
- Aug 5, 2007
- Last updated
- May 4, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 3084 | MN | Primary |
Addresses
Primary practice location
9801 Dupont Ave S Ste 200
Bloomington, MN 55431-3200
Mailing address
9801 Dupont Ave S
425
Bloomington, MN 55431-3100
Phone (952) 567-6092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 776473000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9801 Dupont Ave S
Suite 200
Bloomington, MN 55431-3200
Phone (952) 888-5800
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.11 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 60.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3084 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Eye Consultants, PA | Corneal and Contact Management | Current | Accepting new patients |
Locations
11091 Ulysses St NE
Ste 300
Blaine, MN 55434
Phone (763) 421-9410
710 E 24th St
Ste 100
Minneapolis, MN 55404
Phone (612) 813-3600
9801 DuPont Ave S
Ste 200
Minneapolis, MN 55431
9801 DuPont Ave S
Ste 425
Minneapolis, MN 55431
Phone (952) 567-6092
10709 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
12501 Whitewater Dr
Ste 310
Minnetonka, MN 55343
7125 Tamarack Rd
Ste 100
Woodbury, MN 55125
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Bloomington, MN
- NPI 1508839879
Corneal and Contact Management
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1407047566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 DUPONT AVE S",
"address_2": "425",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554313100",
"telephone_number": "952-567-6092",
"fax_number": "952-884-2656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 DUPONT AVE S STE 200",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554313200",
"telephone_number": "528-885-8009",
"fax_number": "952-567-6156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHMY",
"first_name": "MONA",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MN",
"license": "3084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "776473000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
- Evexia Therapeutic Massage
- Evolution Chiropractic, P.a.
- Jeffrey Allen Ewald, D.C.
- Jesse James Ewaldt
- Nicole Fabian
- Elizabeth Margaret Fairbairn, MD
- Krisa Lynn Fairbanks, NCBTMB, BCTMB, LMT
- Fairview Clinics (M Health Fairview Clinic - Xerxes)
- Fairview Clinics (M Health Fairview Walk In Clinic Mall of America)
- Fairview Clinics (Fairview Clinics-Bloomington, Oxboro)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.