OMAR MALLAH (OD) – Optometrist, NPI 1093491870

OMAR MALLAH (OD) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005689 (MI). The NPI Number for OMAR MALLAH (OD) is 1093491870

Main info

Male
3 Years Of Experience
Name
OMAR MALLAH (OD)
NPI
1093491870
Phone
(703) 847-8899
Address
8614 WESTWOOD CENTER DR FL 9
Enumeration Date
26 June 2023
Last Update Date
5 March 2024

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
5862472121
Graduation Year
2023 (3 years ago)
PAC ID
7315307071
Group Practice PAC ID
7416288949
Professional Enrollment ID
I20230713002056
Address ID
MI483154405SH48873RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,203 OPTOMETRY in MI

Provider Addresses for OMAR MALLAH (OD)

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Type: Mailing

  • 29474 7 MILE RD

    LIVONIA, MI 481521986

    Phone: (248) 615-2815

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $534.

Total Amount is formed as General ($534) + Research ($0) + Ownership ($0) = $534.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: Amgen Inc. ($251).

Total Amount

$534

General + Research + Ownership

Payments

15

Total payment records

General Amount

$534

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230713002056IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22182)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416288949View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YMI
O P T O M E T R YVA
O P T O M E T R YMI
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YMI

Reviews

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Frequently asked questions

What NPI should I save for OMAR MALLAH (OD)?
Save NPI 1093491870 if you need a stable reference for OMAR MALLAH (OD).
Is OMAR MALLAH (OD) currently active in the NPI registry?
CMS-published data lists OMAR MALLAH (OD) as an active registrant.
What field does OMAR MALLAH (OD) work in?
You can think of OMAR MALLAH (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does OMAR MALLAH (OD) practice in Virginia?
You will see Vienna, Virginia on file for OMAR MALLAH (OD) alongside any extra practice locations.
How can I contact OMAR MALLAH (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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