Marina Ishak Abdalla, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5527 Issued in FL

Practice address

2863 Executive Park Dr Ste 103
Weston, FL 33331-3647

Phone

(954) 440-7242

NPI assigned

Jun 28, 2018

Last updated

Mar 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Marina Abdalla LLC

  • Optometrist
  • Weston, FL
  • NPI 1881368603
  Medicare reassignment NPD Authorized official
• Nova Southeastern University, Inc

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1700924511
  Medicare reassignment NPD
• Nova Southeastern University Inc.

  • Clinical Medical Laboratory
  • Fort Lauderdale, FL
  • NPI 1770533390
  NPD
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1447345517
  NPD
• H.F.M. O.D. Inc

  • Vision Therapy Optometrist
  • Weston, FL
  • NPI 1093939514
  NPD (past)
• Appelbaum Eyecare Associates

  • Vision Therapy Optometrist
  • Bethesda, MD
  • NPI 1679971014
  NPD (past)

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1720573173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 SUNFLOWER CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 EXECUTIVE PARK DR STE 103",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313647",
            "telephone_number": "954-440-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Defense Hwy Ste 133",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017098",
            "country_code": "US",
            "telephone_number": "301-897-8484",
            "fax_number": "301-897-8486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6509 Democracy Blvd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171639",
            "country_code": "US",
            "telephone_number": "301-897-8484",
            "fax_number": "301-897-8486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "MARINA",
        "middle_name": "ISHAK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5527",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A&D Care Corp
• ABA Specialist of Florida LLC
• Sarah Abbas
• Aza M Abdalla, MD
• Ishak Abdalla, RPH
• Theresa Abdo, MD
• Ahmad Mohammad Khaleel Abdulraheem, M.D
• Abelardo Daya, DMD, PA
• Alexander Abella, OTR
• Jennifer Abellan

• Optometrist in Weston, FL
• Providers in Weston, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.