Umar Ishaque, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1844 Issued in GA

Practice address

1871 N Elm St
Commerce, GA 30529-2349

Phone

(706) 659-3540

Fax

(706) 659-3541

NPI assigned

Oct 4, 2006

Last updated

Oct 12, 2021By 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 GA

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

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commerce Family EyecareGroup PAC ID 1052840410, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Commerce Family Eyecare

  • Optometrist
  • Commerce, GA
  • NPI 1639916133
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1649366287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 SILVERMERE LN",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974324",
            "telephone_number": "678-439-1393",
            "fax_number": "706-659-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 N ELM ST",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305292349",
            "telephone_number": "706-659-3540",
            "fax_number": "706-659-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAQUE",
        "first_name": "UMAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Mark Hunter, CPHT
• Brandon Hux, LDO
• Independent Physical Therapy of Ga, LLC (Benchmark PT)
• Infinity Health and Physical Therpy, Inc
• Ingles Markets Inc (Ingles Pharmacy #419)
• Mohammad Kamrul Islam, O.D.
• Jackson County Health Department (Jackson County Health Department Commerce)
• Jackson County Health Department
• JM Family Enterprises, Inc
• Kaleem Ahmed MD PC

• Optometrist in Commerce, GA
• Providers in Commerce, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.