Individual provider Active NPI

Sama Alhalabi, OD

  • Optometrist
  • Swansea, IL
National Provider Identifier
1508701996
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046012131 Issued in IL
Practice address
3990 N Illinois St
Swansea, IL 62226-1919
Phone
(618) 277-1130
NPI assigned
Apr 21, 2026
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046012131 IL Primary

Addresses

Primary practice location

3990 N Illinois St
Swansea, IL 62226-1919

Mailing address

3990 N Illinois St
Swansea, IL 62226-1919
Phone (314) 585-2607

Other practice location 1

12 Professional Park Dr
Maryville, IL 62062-5672
Phone (618) 288-7266

Other practice location 2

1310 Dadrian Prof Park
Godfrey, IL 62035-1685
Phone (618) 433-5005

Other practice location 3

2121 S State Route 157
Edwardsville, IL 62025-3607
Phone (618) 277-1130

Other practice location 4

2421 Corporate Ctr Ste 102
Granite City, IL 62040-4195
Phone (618) 931-6980

Other practice location 5

4900 W Main St
Belleville, IL 62226-4725
Phone (618) 235-2400

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046012131ILMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1508701996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261919",
            "telephone_number": "314-585-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261919",
            "telephone_number": "618-277-1130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620625672",
            "country_code": "US",
            "telephone_number": "618-288-7266",
            "fax_number": "618-277-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Dadrian Prof Park",
            "address_purpose": "LOCATION",
            "city": "Godfrey",
            "state": "IL",
            "postal_code": "620351685",
            "country_code": "US",
            "telephone_number": "618-433-5005",
            "fax_number": "618-277-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 S State Route 157",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620253607",
            "country_code": "US",
            "telephone_number": "618-277-1130",
            "fax_number": "618-277-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2421 Corporate Ctr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404195",
            "country_code": "US",
            "telephone_number": "618-931-6980",
            "fax_number": "618-277-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 W Main St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622264725",
            "country_code": "US",
            "telephone_number": "618-235-2400",
            "fax_number": "618-277-4917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALHALABI",
        "first_name": "SAMA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046012131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.