THARA ABU-MALLOUH OD
NPI 1790455095
Optometrist in Jacksonville, FL

Q: What is Thara Abu-mallouh's NPI number?

The NPI number for Thara Abu-mallouh is 1790455095. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Q: What is Thara Abu-mallouh's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Thara Abu-mallouh was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since September 17, 2021PECOS EnrolledAccepts Medicare Assignment

80.17/100

CMS Quality Rating

7205 BENTLEY RD, JACKSONVILLE, FL 32256(904) 296-0098(904) 861-3899 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Sep 17, 2021 (2 updates tracked since 2021).

On this page

About Thara Abu-mallouh Od NPPES

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

THARA ABU-MALLOUH OD (NPI 1790455095) is an individual optometrist in Jacksonville, Florida, licensed in Florida (OPC6013) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790455095

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameTHARA ABU-MALLOUHCredential: OD

Location Address7205 BENTLEY RDJacksonville, FL 32256-7565

Mailing AddressPo Box 11407Birmingham, AL 35246-8575 · (864) 359-1308 · Fax (239) 496-3939

Phone(904) 296-0098

Fax(904) 861-3899

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 17, 2021

Last NPPES UpdateMay 19, 20262 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1790455095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in FL · OPC6013

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

7205 BENTLEY RD, Jacksonville, FL 32256

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11909 Beach Blvd Ste 101Jacksonville Beach, FL 32250-2643 · Phone (941) 792-2020

Location 212341 Yellow Bluff Rd Ste 4Jacksonville, FL 32226-2014 · Phone (904) 296-0098 · Fax (904) 696-3422

Location 3206 Ashourian Ave Ste 215St Augustine, FL 32092-5107 · Phone (904) 296-0098 · Fax (904) 346-0559

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thara Abu-mallouh Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123425873

PECOS Enrollment IDI20210922001457

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

339 services218 patients

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

315 services121 patients

Analysis of substance using immunoassay technique, multiple step method 83516

This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.

155 services61 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

87 services77 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

87 services79 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

72 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

33.91

Other Providers at the Same Location NPPES 2

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

EYE SURGERY CENTER OF NORTH FLORIDA LLC

Clinic/Center (Ambulatory Surgical)

7205 BENTLEY RD
JACKSONVILLE, FL 32256

Duval County (904) 296-0098

DR. FRANK W BOWDEN III M.D.

Ophthalmology

7205 BENTLEY RD
JACKSONVILLE, FL 32256

Duval County (904) 296-0098

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 Thara Abu-mallouh's NPI number?

The NPI number for Thara Abu-mallouh is 1790455095. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Thara Abu-mallouh located?

Thara Abu-mallouh practices at 7205 Bentley Rd, Jacksonville, FL 32256. The listed phone number is (904) 296-0098.

What is Thara Abu-mallouh's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Thara Abu-mallouh enrolled in Medicare?

Yes. Thara Abu-mallouh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thara Abu-mallouh accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Providence Health Plan and UnitedHealthcare list Thara Abu-mallouh 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 Thara Abu-mallouh was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.