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

Individual provider Optometrist · NPI 1790455095

Thara Abu-Mallouh, OD is an Optometry in Jacksonville, Florida. Qualified in 2021, 5 years ago. Practices with Eye Associates of Manatee, LLP, a 60-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

7205 Bentley Rd
Jacksonville, FL 32256-7565
Phone: (904) 296-0098
Fax: (904) 861-3899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 12341 Yellow Bluff Rd Ste 4, Jacksonville, FL 32226-2014 — (904) 296-0098
  • 1909 Beach Blvd Ste 101, Jacksonville Beach, FL 32250-2643 — (941) 792-2020
  • 206 Ashourian Ave Ste 215, St Augustine, FL 32092-5107 — (904) 296-0098

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC6013 (FL)

Record details

NPI number1790455095
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 17, 2021
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Eye Associates Of Manatee, Llp — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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