Mariam Alkawally, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

34605 Issued in CA

Practice address

4105 Empire Dr
Bakersfield, CA 93309-0637

Phone

(661) 843-7616

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Empire Eye and Laser Center Inc

  • Ophthalmology Physician
  • Bakersfield, CA
  • NPI 1265515878
  Medicare reassignment NPD

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1710597240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 GASOL CT APT V203",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933136178",
            "telephone_number": "657-243-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 EMPIRE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090637",
            "telephone_number": "661-843-7616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Westwind Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933013048",
            "country_code": "US",
            "telephone_number": "661-843-7616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALKAWALLY",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "34605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "BAKERSFIELD",
            "affiliation": "N",
            "endpointDescription": "Mod Med",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "BAKERSFIELD",
            "address_1": "1701 Westwind Dr Ste B",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933013048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Muhammad Ashraf Alim, MD
• Cynthia T. Alipio, M.A.
• Farid Alipour, DENTIST
• Christopher Scott Alix, AGACNP-BC, FNP-BC
• Nora Adnan Dawood Aljanabi
• All in One Care. Inc.
• Anthony Allain, PH.D.
• Nicole L. Allain
• Allcarelink Systems Inc.
• Allen Mossaei a Professional Dental Corporation

• Corneal and Contact Management Optometrist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.