MEDICARE: DR. MUQDISA BIBI HASHMI 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	10958	TX
2	152W00000X	Optometrist	OPT003142	GA

General Provider Information

NPI Number	:	1467925172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUQDISA BIBI HASHMI OD

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	1045 W PIONEER PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-4706
Country	:	US
Telephone Number	:	972-641-5606
Fax Number	:	972-660-0642

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

Provider Enumeration Date	:	01/04/2019
Last Update Date	:	02/26/2024

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