Esaam El-Dean Ismail, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2529 Issued in FL

Practice address

410 Citi Ctr
Winter Haven, FL 33880-3425

Phone

(863) 297-5067

Fax

(863) 297-5067

NPI assigned

Dec 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771
  Medicare reassignment Care Compare group NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Kissimmee, FL
  • NPI 1104017094
  NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD
• Eye Doctors Optical Outlets, PA

  • Optometrist
  • Sebring, FL
  • NPI 1982162194
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588728539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S GOODMAN AVE",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338503003",
            "telephone_number": "863-297-5067",
            "fax_number": "863-294-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CITI CTR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803425",
            "telephone_number": "863-297-5067",
            "fax_number": "863-297-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "ESAAM",
        "middle_name": "EL-DEAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity Medical Transportation LLC
• Integrity PDN, LLC
• Integrity Prosthetics and Orthotics, LLC (Integrity Prosthetics and Orthotics)
• Internal Medicine Group of Winter Haven,P.a.
• Susan Iskowitz, LCSW
• Sherif Isshak Ibrahim, MD
• J. Agustin Lacson M.D. Inc (Lacson MD Community Pharmacy)
• J&Y Assisted Living for the Ages
• Jackson Diagnostic Imaging, Inc
• Daniel Jackson, COTA

• Optometrist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.