Ahmad Ibrahim Ibrahim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002253 Issued in AZ

Practice address

1703 W Bethany Home Rd Ste C3
Phoenix, AZ 85015-7066

Phone

(602) 944-2444

NPI assigned

Jun 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• America'S Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Phoenix, AZ
  • NPI 1740212349
  NPD (past)

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1962996058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 S POINTE PKWY W APT 1059",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445419",
            "telephone_number": "734-546-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 W BETHANY HOME RD STE C3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850157066",
            "telephone_number": "602-944-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "AHMAD",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "002253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibc Labs LLC
• Juliet Ibeabuchi
• Onyi Ibeji
• Ibha Home Care Solutions
• Angela Ibragimov, M.D.
• Asad Ibrahim
• Aseel Hany Ibrahim
• Fatima Ibrahim
• Ghassan Jerjous Ibrahim, M.D.
• Hiba Ibrahim, M.D.

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.