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
1	152W00000X	Optometrist

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

General Provider Information

NPI Number	:	1558548180
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	:	972-665-3020
Fax Number	:	972-665-3022

Provider Business Practice Location Address
First Line	:	425 COIT RD
Second Line	:	SUITE#100
City	:	PLANO
State	:	TX
Zip	:	75075-5709
Country	:	US
Telephone Number	:	972-665-3020
Fax Number	:	972-665-3022

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. HAMID HASHEMI
Credential	:	O.D.
Telephone Number	:	972-665-3020

Provider Enumeration Date	:	01/25/2008
Last Update Date	:	09/30/2008

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Directions to “HASHEMI & ASSOCIATE O.D. P.A ” Practice Location

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