Marina Ishak Abdalla, OD

Optometrist in Weston, FL. Individual provider (NPI-1).

NPI number1720573173

StatusActive

Last updated in NPPESMar 28, 2021

Details

NPI: 1720573173
Entity type: Individual (NPI-1)
Name: Marina Ishak Abdalla
Credential: OD
Sex: Female
Sole proprietor: No
Enumeration date: Jun 28, 2018
Certification date: Mar 9, 2021
Last updated: Mar 28, 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	OPC5527	FL	Yes
152W00000X	Optometrist	TA2629	MD

Practice location

2863 Executive Park Dr Ste 103
Weston, FL 33331-3647

Phone 954-440-7242

Mailing address

747 Sunflower Cir
Weston, FL 33327-2113

Other practice locations

133 Defense Hwy Ste 133
Annapolis, MD 21401-7098

Phone 301-897-8484 · Fax 301-897-8486

6509 Democracy Blvd
Bethesda, MD 20817-1639

Phone 301-897-8484 · Fax 301-897-8486

Is something wrong?

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 Weston, FL

All 29 Optometrist providers in Weston · All 2,867 providers in Weston

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