Sami K Ghannam, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1759 Issued in MD

Practice address

612 Main St
Laurel, MD 20707-4008

Phone

(301) 725-0607

Fax

(301) 725-0294

NPI assigned

Aug 31, 2006

Last updated

Feb 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Sami K Ghannam Professional name

Medicare fee-for-service enrollment

Enrolled in DC

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

Pennsylvania College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Howard Budner & Associates O.D. P.a

  • Optometrist
  • Rockville, MD
  • NPI 1023245933
  NPD (past)
• Aeg Washington DC Professional PLLC

  • Optometrist
  • Alton, IL
  • NPI 1699556043
  NPD (past)
• Dr Ralph a Swetlow LTD

  • Occupational Vision Optometrist
  • Baileys Crossroads, VA
  • NPI 1326075862
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1942311774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MAIN ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074008",
            "telephone_number": "301-725-0607",
            "fax_number": "301-725-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MAIN ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074008",
            "telephone_number": "301-725-0607",
            "fax_number": "301-725-0294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15426 New Hampshire Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209054163",
            "country_code": "US",
            "telephone_number": "301-384-4887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Elden St Ste C",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704832",
            "country_code": "US",
            "telephone_number": "703-787-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHANNAM",
        "first_name": "SAMI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001157",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMI",
            "last_name": "GHANNAM",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "O.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elliot Stephen Gersh, MD
• Temima Tova Gerstl, SLP-CF
• Sandra Margaret Geyser, PHARM. D
• Ghafoor Ghamary DDS, LLC (Capital dentistry)
• Marie-Chantal Kwaka Gham
• Barinada Giadom, M.D.
• Giant of Maryland LLC (Giant Pharmacy 340)
• Annemarie Gibbs, OT
• Annie Rebecca Gibson, C.R.N.P.
• Barrett Wade Gift, DVM, DACVO

• Optometrist in Laurel, MD
• Providers in Laurel, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.