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OMAR MEDICAL PLLC
NPI 1346568532
Specialist in St Augustine, FL

Active since May 12, 2010CLIA 10D2062585 · Waiver
100 WHETSTONE PL, STE 204, ST AUGUSTINE, FL 32086(217) 720-3144 Get Directions Write a Review

NPPES record last updated: April 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omar Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMAR MEDICAL PLLC (NPI 1346568532) is a healthcare organization registered as a specialist in St Augustine, Florida and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Walid Omar, President, as its authorized official.

NPPES Registry Identity

NPI1346568532
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOMAR MEDICAL PLLC
Location Address100 WHETSTONE PL, STE 204St Augustine, FL 32086-5774
Mailing Address100 Whetstone Pl, Ste 204St Augustine, FL 32086-5774 · (217) 720-3144
Phone(217) 720-3144
Organization SubpartNo
Authorized OfficialWalid OmarPresident · (217) 720-3144
Enumeration DateMay 12, 2010
Last NPPES UpdateApril 26, 2013
✔ NPI 1346568532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in FL · 0094907✔ Licensed in FL · 0097900
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 WHETSTONE PL, St Augustine, FL 32086
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2062585

Omar Medical PLLC · Saint Augustine, FL
Active · expires Jul 17, 2027
CLIA Number10D2062585
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorWalid Omar
Laboratory Phone(904) 342-8351
Laboratory LocationOmar Medical PLLC100 Whetstone Pl Ste 204, Saint Augustine, FL 32086
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK ZIEMANN-GIMMEL MD
Anesthesiology
100 WHETSTONE PL
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-4478
LIGHTHOUSE PEDIATRICS PLLC
Pediatrics
100 WHETSTONE PL, SUITE 211
ST AUGUSTINE, FL 32086
St. Johns County (904) 342-7648
WILLIAM J OKTAVEC MD PA
Ophthalmology
100 WHETSTONE PL, SUITE 106
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-3937
BERNARD R BORBELY MD
Internal Medicine (Pulmonary Disease)
100 WHETSTONE PL, SUITE208
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-6800
DR. WALID OMAR MD
Family Medicine
100 WHETSTONE PL, SUITE 204
ST AUGUSTINE, FL 32086
St. Johns County (217) 720-3144
BETHANY ANN BROWN ARNP
Nurse Practitioner
100 WHETSTONE PL
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 746-1095
FARGHALY MEDICAL, PLLC
Family Medicine
100 WHETSTONE PL, SUITE 208
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-7932
DR. WILLIAM FRANCIS FOODY JR. M.D.
Internal Medicine (Gastroenterology)
100 WHETSTONE PL, STE 105
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-9557

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omar Medical PLLC's NPI number?

The NPI number for Omar Medical PLLC is 1346568532. It was assigned to this organization in the NPPES registry on May 12, 2010.

Where is Omar Medical PLLC located?

Omar Medical PLLC is located at 100 Whetstone Pl Ste 204, St Augustine, FL 32086. The listed phone number is (217) 720-3144.

What is Omar Medical PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Omar Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2062585) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Omar Medical PLLC accept?

Health plans from AvMed list Omar Medical PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Omar Medical PLLC was last updated on April 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.