MEDICARE: DR. TAREK HAMMAMI HAWASLY 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	TUV007638-1	NY
2	152W00000X	Optometrist	OPT13300TPA	CA

General Provider Information

NPI Number	:	1124216098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAREK HAMMAMI HAWASLY O.D.

Provider Business Mailing Address
First Line	:	1234 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4102
Country	:	US
Telephone Number	:	949-300-8469
Fax Number	:

Provider Business Practice Location Address
First Line	:	1234 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4102
Country	:	US
Telephone Number	:	949-300-8469
Fax Number	:

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

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	07/31/2025

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