NAGWA IBRAHIM (NPI# 1790297638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790297638 |
| Entity Type | Individual |
| Full Name | NAGWA IBRAHIM |
| Credential | OD |
| Practice Address |
1643 Route 112 Ste A Medford NY 11763-3654 |
| Mailing Address |
1 Ritz Pl Lindenhurst NY 11757-1833 |
| Practice Telephone | 6317585575 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV008651 | NY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134497340 | Nagwa Mohieldin Ibrahim II | Counselor | 8901 S.santa Fe Ave Ste E, 8901, Oklahoma City, OK 73139-8413 | 2011-12-02 |
| 1386762839 | Nagwa Ibrahim | Social Worker | 6140 S Broadway, Lorain, OH 44053-3821 | 2007-03-26 |
| Street Address |
1643 ROUTE 112 STE A |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707491 | Steven I Goodman Od PC | Optometrist | 1643 Route 112 Ste A, Medford, NY 11763-3654 | 2005-08-15 |
| 1316146673 | Steven I Goodman | Optometrist | 1643 Route 112 Ste A, Medford, NY 11763-3654 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417339359 | Angela Marie Dedionisio | Optometrist | 38 Rossanley Dr, Medford, OR 97501 | 2015-06-28 |
| 1508243239 | Bastian Eyecare Professionals | Optometrist | 12 Revere Pl, Medford, MA 02155-3903 | 2015-05-01 |
| 1700216090 | All Eye Care At Davis, Inc | Optometrist | 63 Station Lndg, Att. Dr Dzenana Idrizovic, Medford, MA 02155-5192 | 2013-11-22 |
| 1518246883 | Yan Lu | Optometrist | 278 Middlesex Ave, Medford, MA 02155-5066 | 2011-08-04 |
| 1821307182 | Diane Marie Shaver | Optometrist | 1600 N Riverside Ave Unit 2027, Medford, OR 97501-4665 | 2010-10-04 |
| 1659491777 | Stephen Allen Barnes | Optometrist | 3639 Crater Lake Hwy, Medford, OR 97504-9259 | 2007-03-30 |
| 1700916251 | Wayne Leroy Knight | Optometrist | 120 Route 70, Medford, NJ 08055-9504 | 2007-03-06 |
| 1477692655 | Kimberly Tischner | Optometrist | 73 S Main Street, Medford, NJ 08055 | 2007-02-05 |
| 1164589230 | Steven Paul Mullins | Optometrist | 1740 Delta Waters Rd, Suite 100, Medford, OR 97504-9175 | 2007-01-02 |
| 1578625612 | Barry Andrew Clegg | Optometrist | 2352 Poplar Dr, Medford, OR 97504-5297 | 2006-12-14 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.