Carmela Abraham, OD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

4169 Issued in OH

Practice address

616 E State St
Salem, OH 44460-2935

Phone

(330) 332-2080

Fax

(330) 332-2123

NPI assigned

Dec 27, 2006

Last updated

Mar 3, 2008By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Julie a. Mackall OD LLCGroup PAC ID 3870544398, 3 clinicians

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.

• Julie a. Mackall OD LLC

  • Optometrist
  • Salem, OH
  • NPI 1871738898
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1942365291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602935",
            "telephone_number": "330-332-2080",
            "fax_number": "330-332-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602935",
            "telephone_number": "330-332-2080",
            "fax_number": "330-332-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "CARMELA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OH",
            "license": "4169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218839",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abi Orthotic & Prosthetic Labs, Inc.
• Action Physical Therapy and Rehabilitation, Inc
• Jessica Michelle Adkins, COTA/L
• Aegis Group Practice LLC
• Susan Aey, MD
• Diane Lynn Alexander/Wilson

• Vision Therapy Optometrist in Salem, OH
• Providers in Salem, OH by specialty
• Vision Therapy Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.