Individual provider Active NPI

Umar Talal Ahmed, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1558857771
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5599 Issued in FL
Practice address
6718 Lake Nona Blvd Ste 140
Orlando, FL 32827-7984
Phone
(407) 857-3937
Fax
(407) 392-0420
NPI assigned
Jul 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5599 FL Primary

Addresses

Primary practice location

6718 Lake Nona Blvd Ste 140
Orlando, FL 32827-7984

Mailing address

6718 Lake Nona Blvd Ste 140
Orlando, FL 32827-7984
Phone (407) 857-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190805000757 FL Practitioner - Optometry 3274860937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Nona Ophthalmology PLGroup PAC ID 5496992588, 2 clinicians

Practice addresses (Care Compare)

6718 Lake Nona Blvd
Suite 140
Orlando, FL 32827-7982
Phone (407) 857-3937

Merit-based Incentive Payment System (MIPS)

Final score
95.42 of 100Reported as individual
Quality
91.67
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Nona Ophthalmology PL CurrentSince Aug 10, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jul 22, 2019 Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Jul 22, 2019 Accepting new patients

Locations

1695 N Broadway Ave
Bartow, FL 33830
Phone (863) 534-2020

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

119 Patterson Rd
Haines City, FL 33844
Phone (863) 419-1300

4337 S Florida Ave
Lakeland, FL 33813
Phone (863) 619-2700

6718 Lake Nona Blvd
Ste 140
Orlando, FL 32827
Phone (407) 857-3937

9685 Lake Nona Village Pl
Ste 140
Orlando, FL 32827
Phone (407) 857-3937

3600 US 27 N
Sebring, FL 33870
Phone (863) 294-5457

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

215 1st St N
Winter Haven, FL 33881
Phone (863) 299-8908

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1558857771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 LAKE NONA BLVD STE 140",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277984",
            "telephone_number": "407-857-3937",
            "fax_number": "407-392-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 LAKE NONA BLVD STE 140",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277984",
            "telephone_number": "407-857-3937",
            "fax_number": "407-392-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "UMAR",
        "middle_name": "TALAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.