Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omar Mohammed Moinuddin, MD

Individual provider Ophthalmology Physician · NPI 1477114296

Omar Mohammed Moinuddin, MD is an Ophthalmology in Southlake, Texas. Graduated from Oakland Univ, William Beaumont School of Medicine in 2018, 8 years ago. Practices with Jawad a Qureshi MD PA, a 7-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan and Texas.

Years since qualifying
8
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
MI, TX
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

305 Morrison Park Dr Ste 100
Southlake, TX 76092-1352
Phone: (817) 865-6800
Fax: (817) 865-6790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 12222 N Central Expy Ste 250, Dallas, TX 75243-3762 — (817) 865-6800
  • 3455 Locke Ave Ste 310, Fort Worth, TX 76107-5747 — (817) 865-6800
  • 3804 W 15th St Ste 130, Plano, TX 75075-4752 — (817) 865-6800

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 4301509019 (MI)
Ophthalmology Physician Taxonomy 207W00000X · Licence 4351044807 (MI)
Ophthalmology Physician Taxonomy 207W00000X · Licence V8695 (TX)

Record details

NPI number1477114296
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Jawad A Qureshi Md Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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