Khadra S Ali-Mohamed, DO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

7333 Issued in FL

Practice address

10347 Cross Creek Blvd Ste C4
Tampa, FL 33647-2993

Phone

(813) 421-1453

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Specoptics LLC

  • Optician
  • Tampa, FL
  • NPI 1669040770
  NPD Authorized official

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1992476857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10347 CROSS CREEK BLVD STE C4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472993",
            "telephone_number": "813-421-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10347 CROSS CREEK BLVD STE C4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472993",
            "telephone_number": "813-421-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI-MOHAMED",
        "first_name": "KHADRA",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "7333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Alhazaimeh
• Gary James Alhemovich, NP
• Ali Family Dental LLC
• Hadeel E Ali Hamdan, APRN
• Suhad Saleh Ali Mohammed
• Aariha Imtiaz Ali, MD
• Alaa Ali, MD
• Basima Ali
• Denna E Ali
• Farhan Ali, M.D.

• All providers in Tampa, FL
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.