SAMANTHA NIZAM HABHAB MD NPI 1407385636

NPI Information

  • NPI: 1407385636
  • Provider Name: SAMANTHA NIZAM HABHAB, MD
  • Classification: Ophthalmology - 207WX0120X
  • Specialization: Cornea and External Diseases Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11512 LAKE MEAD AVE UNIT 534
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (904) 642-2222

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NPI Details

Samantha Nizam Habhab, MD is a cornea and external diseases specialist ophthalmology in Jacksonville, FL with 8 years of experience. The provider is an ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. Samantha Nizam Habhab, MD NPI is 1407385636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

11512 LAKE MEAD AVE UNIT 534
JACKSONVILLE, FL
ZIP 32256-835
Phone: (904) 642-2222

The NPI 1407385636 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 6/10/2017 and was last updated on 11/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology4301112050MICHIGANNo
2207W00000XOphthalmology4351031718MICHIGANNo
3207W00000XOphthalmologyMD473679PENNSYLVANIANo
4207WX0120XOphthalmologyCornea and External Diseases SpecialistME155829FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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