MEDICARE: AMMARA SAJID OD

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	11508	TX

General Provider Information

NPI Number	:	1841183324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMMARA SAJID OD

Provider Business Mailing Address
First Line	:	4131 DEER CRK STE N120
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-3223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4131 DEER CRK STE N120
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-3223
Country	:	US
Telephone Number	:	469-382-4427
Fax Number	:

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

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	12/21/2025

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Directions to “ AMMARA SAJID OD” Practice Location

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