MEDICARE: DR. HAMIDA HEMANI 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	4661TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164425518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAMIDA HEMANI O.D.

Provider Business Mailing Address
First Line	:	11805 WESTHEIMER RD
Second Line	:	SUITE 300
City	:	HOUSTON
State	:	TX
Zip	:	77077-6763
Country	:	US
Telephone Number	:	281-496-0689
Fax Number	:	281-497-6956

Provider Business Practice Location Address
First Line	:	11805 WESTHEIMER RD
Second Line	:	SUITE 300
City	:	HOUSTON
State	:	TX
Zip	:	77077-6763
Country	:	US
Telephone Number	:	281-496-0689
Fax Number	:	281-497-6956

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	03/26/2014

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