Individual provider Active NPI

Mashael Al-Namaeh, O.D.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1669781670
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
DA 2221 Issued in MD
Practice address
8230 Montgomery Rd Ste 120
Cincinnati, OH 45236-2292
Phone
(877) 506-0002
NPI assigned
Sep 26, 2010
Last updated
Dec 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002015 VA
Optometrist 152W00000X OP1000216 DC
Optometrist 152W00000X DA 2221 MD Primary

Addresses

Primary practice location

8230 Montgomery Rd Ste 120
Cincinnati, OH 45236-2292

Mailing address

1400 S Joyce St Apt 136
Arlington, VA 22202-1805
Phone (703) 992-5424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200423001092 KY Practitioner - Optometry 2860640604 Reassigns benefits to 2 organizations
I20230327000285 OH Practitioner - Optometry 2860640604 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1000216DCMDOptometrist
DA 2221MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Bright Eyes Clinic Optometrist CurrentSince Mar 6, 2023 Accepting new patients
Family First Vision Care Kentucky, LLC Optometrist CurrentSince Mar 28, 2023 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 5, 2021 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients

Locations

614 Buttermilk Pike
Crescent Springs, KY 41017
Phone (859) 320-0221

70 Public Sq
Elkton, KY 42220
Phone (270) 265-3168

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

28522 Marlboro Ave
#A
Easton, MD 21601
Phone (410) 690-8844

360 E Pulaski Hwy
Ste 1B
Elkton, MD 21921
Phone (410) 398-5240

920 Revolution St
Hvre de Grace, MD 21078
Phone (410) 939-2200

14700 Baltimore Ave
Unit 109
Laurel, MD 20707
Phone (301) 245-3903

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

316 S Hamilton Rd
Gahanna, OH 43230

6335 Wilson Mills Rd
Highland Heights, OH 44143
Phone (440) 221-7241

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1669781670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S JOYCE ST APT 136",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222021805",
            "telephone_number": "703-992-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 MONTGOMERY RD STE 120",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362292",
            "telephone_number": "877-506-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-NAMAEH",
        "first_name": "MASHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-26",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002015",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000216",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "DA 2221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.