Provider Demographics
NPI:1295999423
Name:HACHEM, MERVET NANOUH (OD)
Entity type:Individual
Prefix:DR
First Name:MERVET
Middle Name:NANOUH
Last Name:HACHEM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 EDINBORO LN
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-7002
Mailing Address - Country:US
Mailing Address - Phone:610-216-5811
Mailing Address - Fax:
Practice Address - Street 1:1901 RIDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1231
Practice Address - Country:US
Practice Address - Phone:610-373-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002117152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist