Individual provider Active NPI

Osama Hassan Omar, M.D.

  • Ophthalmology Physician
  • Altamonte Springs, FL
National Provider Identifier
1639104318
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME79154 Issued in FL
Practice address
220 N Westmonte Dr Ste F
Altamonte Springs, FL 32714-3360
Phone
(407) 389-0800
Fax
(407) 389-1880
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 210778-1 NY
Ophthalmology Physician 207W00000X G83074 CA
Ophthalmology Physician 207W00000X ME79154 FL Primary

Addresses

Primary practice location

220 N Westmonte Dr Ste F
Altamonte Springs, FL 32714-3360

Mailing address

220 N Westmonte Dr Ste F
Altamonte Springs, FL 32714-3360
Phone (407) 389-0800

Other identifiers 2

IdentifierTypeStateIssuer
011492200MedicaidFL
58674OtherFLBCBS ID

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000126 FL Practitioner - Ophthalmology 7517980576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Tennessee, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 N Westmonte Dr
Suite F
Altamonte Springs, FL 32714-3360
Phone (407) 389-0800

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME79154FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vision Institute, PA Ophthalmology CurrentSince Apr 10, 2001 Accepting new patients
Eagle Eye Clinic, PA Ophthalmology Past Accepting new patients

Locations

220 N Westmonte Dr
Ste F
Altamonte Springs, FL 32714
Phone (407) 331-1119

773 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 389-0800

Organizations & group practices 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1639104318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N WESTMONTE DR STE F",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143360",
            "telephone_number": "407-389-0800",
            "fax_number": "407-389-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N WESTMONTE DR STE F",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143360",
            "telephone_number": "407-389-0800",
            "fax_number": "407-389-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "OSAMA",
        "middle_name": "HASSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "210778-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83074",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME79154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011492200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "58674",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.