Dr. Umar Ishaque, O.D.
Optometrist in Commerce, GA. Individual provider (NPI-1).
NPI number1649366287
StatusActive
Last updated in NPPESOct 12, 2021
Details
- NPI
- 1649366287
- Entity type
- Individual (NPI-1)
- Name
- Dr. Umar Ishaque
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Certification date
- Oct 12, 2021
- Last updated
- Oct 12, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1844 | GA | Yes |
Practice location
1871 N Elm StCommerce, GA 30529-2349
Phone 706-659-3540 · Fax 706-659-3541
Mailing address
2964 Silvermere LnDuluth, GA 30097-4324
Phone 678-439-1393 · Fax 706-659-3541
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Optometrist providers in Commerce, GA
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All 10 Optometrist providers in Commerce · All 216 providers in Commerce
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