Provider Demographics
NPI:1962464487
Name:HASHIM, JOSEPH D
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:D
Last Name:HASHIM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 W HOUSATONIC ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6020
Mailing Address - Country:US
Mailing Address - Phone:413-442-0920
Mailing Address - Fax:413-496-9294
Practice Address - Street 1:145 W HOUSATONIC ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6020
Practice Address - Country:US
Practice Address - Phone:413-442-0920
Practice Address - Fax:413-496-9294
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2347152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA12941OtherHEALTH NEW ENGLAND
MAW15414OtherBC/BS
MA000000021776OtherBOSTON MEDICAL CENTER NET
MA0312061Medicaid
MA10047260-L214OtherCDPHP
MA4134420920OtherVSP
MA50726OtherDAVIS VISION
MA732738OtherTUFTS
MA813150OtherMVP
MAW15414OtherHARVARD PILGRIM HEALTH CA
MA117404OtherEYE CARE PLAN OF AMERICA
MAW15414OtherBC/BS
MA50726OtherDAVIS VISION
MA0125350001Medicare NSC