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NPI Code Detail

MEDICARE: HASHEMI & ASSOCIATE O.D.,P.A

MEDICARE: HASHEMI & ASSOCIATE O.D.,P.A
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
1152W00000XOptometrist6174TGTX

Other Identifiers

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

General Provider Information

NPI Number : 1376879551
Entity Type Code : Organization
Provider Name (Legal Business Name) : HASHEMI & ASSOCIATE O.D.,P.A
Provider Business Mailing Address
First Line : PO BOX 260596
Second Line :
City : PLANO
State : TX
Zip : 75026-0596
Country : US
Telephone Number : 972-862-6699
Fax Number : 972-862-6611
Provider Business Practice Location Address
First Line : 18121 MARSH LN STE 6
Second Line :
City : DALLAS
State : TX
Zip : 75287-5742
Country : US
Telephone Number : 972-862-6699
Fax Number : 972-862-6611
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. HAMID HASHEMI
Credential : O.D.
Telephone Number : 972-862-6699
Provider Enumeration Date : 10/23/2009
Last Update Date : 10/23/2009

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