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

Samantha Nizam Habhab, MD

Individual provider Ophthalmology Physician · NPI 1407385636

Samantha Nizam Habhab, MD is an Ophthalmology in Jacksonville, Florida. Graduated from Wayne State University School of Medicine in 2017, 9 years ago. Practices with Volusia Eye Associates, LLC, a 4-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Michigan and Pennsylvania.

Years since qualifying
9
Trained at
Wayne State University School of Medicine
Licensed in
FL, MI, PA
In the registry since
2017
Specialties on file
4
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

11512 Lake Mead Ave Unit 534
Jacksonville, FL 32256-5835
Phone: (904) 642-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4717 Saint Antoine St, Detroit, MI 48201-1423 — (313) 577-8900
  • 840 Walnut St, Philadelphia, PA 19107-5599 — (215) 923-3239

Specialties & licences

Cornea and External Diseases Specialist Physician (primary) Taxonomy 207WX0120X · Licence ME155829 (FL)
Ophthalmology Physician Taxonomy 207W00000X · Licence 4301112050 (MI)
Ophthalmology Physician Taxonomy 207W00000X · Licence 4351031718 (MI)
Ophthalmology Physician Taxonomy 207W00000X · Licence MD473679 (PA)

Record details

NPI number1407385636
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2017
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Volusia Eye Associates, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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