MEDICARE: OMER AMIR 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	11499TG	TX

General Provider Information

NPI Number	:	1497631410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMER AMIR OD

Provider Business Mailing Address
First Line	:	1506 E GRIFFIN PKWY
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78572-2425
Country	:	US
Telephone Number	:	956-583-0202
Fax Number	:

Provider Business Practice Location Address
First Line	:	3811 S COOPER ST STE 2310
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-4148
Country	:	US
Telephone Number	:	817-385-1111
Fax Number	:	469-689-5300

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

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	12/19/2025

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Directions to “ OMER AMIR OD” Practice Location

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