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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2026, May 19, 2026, Sep 17, 2021 (3 updates tracked since 2021).

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 4 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 UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 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 4

Location 112341 Yellow Bluff Rd Ste 4Jacksonville, FL 32226-2014 · Phone (904) 296-0098 · Fax (904) 696-3422
Location 2206 Ashourian Ave Ste 215St Augustine, FL 32092-5107 · Phone (904) 296-0098 · Fax (904) 346-0559
Location 33 Shircliff Way Ste 134Jacksonville, FL 32204-4785 · Phone (239) 466-2020
Location 41909 Beach Blvd Ste 101Jacksonville Beach, FL 32250-2643 · Phone (941) 792-2020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thara Abu-mallouh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Frank W Bowden III MD Facs PA
Same address
Ophthalmology
7205 BONNEVAL RD
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1841287760 (904) 296-0098
Eye Associates Of Manatee, LLP
200 mi
Ophthalmology
6002 POINTE WEST BLVD
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 64 clinicians in this Medicare group
NPI 1366483851 (941) 792-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality100
Improvement Activities40
Cost33.91

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.

Which organizations bill Medicare for Thara Abu-mallouh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thara Abu-mallouh reassigns Medicare benefits to 2 organizations: Frank W Bowden III MD Facs PA (Jacksonville, FL) and Eye Associates Of Manatee, LLP (Bradenton, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thara Abu-mallouh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thara Abu-mallouh accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Blue (BlueCross BlueShield FL) and 12 other insurers 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 October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.