OMAR MOHAMMED MOINUDDIN MD NPI 1477114296

NPI Information

  • NPI: 1477114296
  • Provider Name: OMAR MOHAMMED MOINUDDIN, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 305 MORRISON PARK DR STE 100
    SOUTHLAKE, TX
    ZIP 76092
  • Phone: (817) 865-6800

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NPI Details

Omar Mohammed Moinuddin, MD is an ophthalmology in Southlake, TX with 8 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Omar Mohammed Moinuddin, MD NPI is 1477114296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

305 MORRISON PARK DR STE 100
SOUTHLAKE, TX
ZIP 76092-352
Phone: (817) 865-6800
Fax: (817) 865-6790

The NPI 1477114296 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 enumeration date for this NPI number is 6/24/2019 and was last updated on 10/21/2025.

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
1207W00000XOphthalmology4301509019MICHIGANYes
2207W00000XOphthalmology4351044807MICHIGANNo
3207W00000XOphthalmologyV8695TEXASNo

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: 11/21/2025

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