1689851446 NPI number — HASHEMI & ASSOCIATES O.D., P.A.

Table of content: (NPI 1689851446)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689851446 NPI number — HASHEMI & ASSOCIATES O.D., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HASHEMI & ASSOCIATES O.D., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
EYE EXAM PROS, THE COLONY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689851446
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/07/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 260596
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75026-0596
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-370-3937
Provider Business Mailing Address Fax Number:
972-370-2128

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4691 HWY 121
Provider Second Line Business Practice Location Address:
SUITE#700
Provider Business Practice Location Address City Name:
LEWISVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75056-4010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-370-3937
Provider Business Practice Location Address Fax Number:
972-370-2128
Provider Enumeration Date:
01/23/2008

Additional Information

Authorized Official

Authorized Official Last Name:
HASHEMI
Authorized Official First Name:
HAMID
Authorized Official Middle Name:
Authorized Official Title or Position:
OPTOMETRIST
Authorized Official Telephone Number:
972-370-3937

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  6174 TG , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 166455901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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