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

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

Other identifiers 3

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 and National Provider Directory roles.

• Commerce Family Eyecare

  • Optometrist
  • Commerce, GA
  • NPI 1639916133

  GA, Optometrist

  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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544462151B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544462151A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544462151C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• All providers in Commerce, GA
• 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.