Active NPI
Mariam Ibrahim Labib, OD
- Optometrist
- Tampa, FL
National Provider Identifier
1750189239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- XXXXXXXX
- Practice address
- 13904 N Dale Mabry Hwy
Tampa, FL 33618-2446 - Phone
- (813) 908-2020
- NPI assigned
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | XXXXXXXX | FL | Primary |
Addresses
Primary practice location
13904 N Dale Mabry Hwy
Tampa, FL 33618-2446
Mailing address
35 Carolwood Cres
Markham, ONTARIO L3S4T2
CA
Other practice location 1
1585 Markham Road
1585 Markham Road
Scarborough, Ontario M1B 2W1
CA
Phone (416) 284-0289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XXXXXXXX | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1750189239",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "35 CAROLWOOD CRES",
"city": "MARKHAM",
"state": "ONTARIO",
"postal_code": "L3S4T2"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13904 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182446",
"telephone_number": "813-908-2020"
}
],
"practiceLocations": [
{
"address_1": "1585 Markham Road",
"address_2": "1585 Markham Road",
"address_purpose": "LOCATION",
"city": "Scarborough",
"state": "Ontario",
"postal_code": "M1B 2W1",
"country_code": "CA",
"telephone_number": "416-284-0289",
"country_name": "Canada",
"address_type": "FGN"
}
],
"basic": {
"last_name": "LABIB",
"first_name": "MARIAM",
"middle_name": "IBRAHIM",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-03",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "XXXXXXXX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.