MEDICARE: DR. ANSEH BABAEI 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	9822	TX

General Provider Information

NPI Number	:	1619522281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANSEH BABAEI O.D.

Provider Business Mailing Address
First Line	:	2510 N HARDIN BLVD STE 500
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-8779
Country	:	US
Telephone Number	:	469-459-2020
Fax Number	:	469-459-2030

Provider Business Practice Location Address
First Line	:	2510 N HARDIN BLVD STE 500
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-8779
Country	:	US
Telephone Number	:	469-459-2020
Fax Number	:	469-459-2030

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

Provider Enumeration Date	:	08/09/2019
Last Update Date	:	03/10/2026

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