Provider Demographics
NPI:1558548180
Name:HASHEMI & ASSOCIATE O.D. P.A
Entity Type:Organization
Organization Name:HASHEMI & ASSOCIATE O.D. P.A
Other - Org Name:EYE EXAM PROS, PLANO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:
Authorized Official - Last Name:HASHEMI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-665-3020
Mailing Address - Street 1:PO BOX 260596
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-0596
Mailing Address - Country:US
Mailing Address - Phone:972-665-3020
Mailing Address - Fax:972-665-3022
Practice Address - Street 1:425 COIT RD
Practice Address - Street 2:SUITE#100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-5709
Practice Address - Country:US
Practice Address - Phone:972-665-3020
Practice Address - Fax:972-665-3022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166455901Medicaid
TXU91834Medicare UPIN