MEDICARE: OMAR ABORAHMA OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	11599TG	TX

General Provider Information

NPI Number	:	1376479311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMAR ABORAHMA OD

Provider Business Mailing Address
First Line	:	3933 BENTGRASS RD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-1034
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 PARKER RD STE 120
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4864
Country	:	US
Telephone Number	:	972-939-5367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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