Individual provider Active NPI

Nisma Gabr, OD

  • Optometrist
  • Laurinburg, NC
National Provider Identifier
1437762176
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2619 Issued in NC
Practice address
215 Lauchwood Dr Ste a
Laurinburg, NC 28352-4647
Phone
(910) 276-1993
Fax
(910) 277-7364
NPI assigned
Aug 24, 2020
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 2619 NC Primary

Addresses

Primary practice location

215 Lauchwood Dr Ste a
Laurinburg, NC 28352-4647

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200921001250 NC Practitioner - Optometry 5496173668 Reassigns benefits to 1 organization
I20231030000267 VA Practitioner - Optometry 5496173668 Reassigns benefits to 1 organization
I20260204004265 DC Practitioner - Optometry 5496173668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8029 Copperhead Creek St
Las Vegas, NV 89143-5174

PO Box
New York, NY 10087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2619NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Aug 31, 2020 Accepting new patients
Myeyedr Optometry of Virgnia, PLLC Optometrist CurrentSince Sep 17, 2023 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Sep 17, 2023 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Aug 31, 2020 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Past Accepting new patients
Eye Care Associates OD PA Optometrist Past Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist PastSince Feb 23, 2025 Accepting new patients

Locations (25 of 48)

11088 US 15 501 Hwy
Unit 925
Aberdeen, NC 28315
Phone (910) 693-1226

2835 S Church St
Burlington, NC 27215
Phone (336) 584-0505

313 Wb McLean Dr
Cape Carteret, NC 28584
Phone (252) 393-3010

1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771

2075 Renaissance Park Pl
Cary, NC 27513
Phone (919) 391-7224

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

11761 US Highway 70 Bus W
Clayton, NC 27520
Phone (919) 533-5600

7001 Fayetteville Rd
Ste 105
Durham, NC 27713
Phone (919) 861-9178

812 S Van Buren Rd
Eden, NC 27288
Phone (336) 623-2020

326 Glensford Dr
Ste 108
Fayetteville, NC 28314
Phone (910) 864-6070

7075 White Oak Rd
Garner, NC 27529
Phone (919) 861-9177

860 Summit Crossing Pl
Ste 110
Gastonia, NC 28054
Phone (704) 865-3937

3354 W Friendly Ave
Ste 147
Greensboro, NC 27410
Phone (336) 387-0930

411A Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 790-3502

2490 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 752-4844

3535 S Memorial Dr
Greenville, NC 27834
Phone (252) 353-3111

3911 Fountain Grove Dr
High Point, NC 27265
Phone (336) 889-2225

1027 S Main St
Kernersville, NC 27284
Phone (336) 996-2020

1007 W Vernon Ave
Kinston, NC 28501
Phone (252) 523-2020

215 Lauchwood Dr
#A
Laurinburg, NC 28352
Phone (910) 276-1993

1031 Grandiflora Dr
Leland, NC 28451
Phone (910) 371-0540

505 Retail Way
Ste 118
Louisburg, NC 27549
Phone (919) 496-1156

714 Highway St
Madison, NC 27025
Phone (336) 427-2020

3001 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 633-2901

13220 Strickland Rd
Ste 160
Raleigh, NC 27613
Phone (919) 870-6430

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1437762176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LAUCHWOOD DR STE A",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524647",
            "telephone_number": "910-276-1993",
            "fax_number": "910-277-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABR",
        "first_name": "NISMA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.