Provider Demographics
NPI:1750306585
Name:HASHEMI, HAMID (OD)
Entity Type:Individual
Prefix:DR
First Name:HAMID
Middle Name:
Last Name:HASHEMI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 S EDMONDS LN STE 101
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3507
Mailing Address - Country:US
Mailing Address - Phone:469-616-2030
Mailing Address - Fax:469-616-2031
Practice Address - Street 1:326 S EDMONDS LN STE 101
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3507
Practice Address - Country:US
Practice Address - Phone:469-616-2030
Practice Address - Fax:469-616-2031
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6174TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166457501Medicaid