Individual provider Active NPI

Hanaa Malik Habashi, O.D.

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1619060696
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3588 Issued in FL
Practice address
9560 Crosshill Blvd
Ste 106
Jacksonville, FL 32222-5850
Phone
(904) 777-2927
Fax
(904) 777-4047
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3588 FL Primary

Addresses

Primary practice location

9560 Crosshill Blvd
Ste 106
Jacksonville, FL 32222-5850

Mailing address

9560-106 Crosshill Boulevard
Jacksonville, FL 32222

Other identifiers 4

IdentifierTypeStateIssuer
1954271OtherCIGNA
21223490855OtherFLBEECH STREET
2206098OtherFLUNITED HEALTHCARE
19702OtherFLBLUE CROSS BLUE SHIELD

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
I20080122000276 FL Practitioner - Optometry 8426139007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005

9560 Crosshill Blvd
Suite 106
Jacksonville, FL 32222-5827
Phone (904) 777-2927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3588FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Feb 29, 2016 Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Feb 29, 2016 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients

Locations

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

9560 Crosshill Blvd
Ste 106
Jacksonville, FL 32222
Phone (904) 777-2927

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

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1619060696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560-106 CROSSHILL BOULEVARD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 CROSSHILL BLVD",
            "address_2": "STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225850",
            "telephone_number": "904-777-2927",
            "fax_number": "904-777-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABASHI",
        "first_name": "HANAA",
        "middle_name": "MALIK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1954271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "21223490855",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2206098",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19702",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.