CMS-1500 Box 24J / 33a • NPI
1720573173
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
152W00000X (CMS 41)
Licensed & Credentialed Eye and Vision Service Providers — Optometrist
Box 32 Service Location & ZIP+4
2863 EXECUTIVE PARK DR STE 103, WESTON, FL, 33331-3647
✓ 9-Digit EDI 837 ZIP+4 (33331-3647)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1720573173 (MARINA ISHAK ABDALLA, OD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1720573173)
Medicare Beneficiaries
117
Total Billed Services
286
Distinct CPT/HCPCS Codes
10
Medicare Allowed Total
$20,360.41
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
92014 | Established patient complete exam of visual system | 100 |
92250 | Photography of the retina | 102 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 25 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1720573173 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARINA ISHAK ABDALLA, OD |
| Plain-English Specialty | Licensed & Credentialed Eye and Vision Service Providers — Optometrist NUCC Code: 152W00000X (Optometrist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2863 EXECUTIVE PARK DR STE 103, WESTON, FL, 33331-3647 |
| Practice Telephone / Fax | Tel: (954) 440-7242 |
| Administrative Mailing Address | 747 SUNFLOWER CIR, WESTON, FL, 33327-2113 |
| Enumeration & Last Sync | Enumerated: 2018-06-28 | CMS Record Updated: 2021-03-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (152W00000X)
What Does Taxonomy Code 152W00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARINA ISHAK ABDALLA, OD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
152W00000X — OptometristPlain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist | State: FL | License: OPC5527 | Primary: Yes (Primary) |
152W00000X — OptometristPlain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist | State: MD | License: TA2629 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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