MEDICARE: AZEEN HADADI O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT002877	GA

General Provider Information

NPI Number	:	1063895704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AZEEN HADADI O.D.

Provider Business Mailing Address
First Line	:	4400 ASHFORD DUNWOODY RD NE STE 2615
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30346-1593
Country	:	US
Telephone Number	:	855-914-3478
Fax Number	:	404-521-4652

Provider Business Practice Location Address
First Line	:	4400 ASHFORD DUNWOODY RD NE STE 2615
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30346-1593
Country	:	US
Telephone Number	:	855-914-3478
Fax Number	:	678-877-8108

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2015
Last Update Date	:	01/12/2026

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