Provider Demographics
NPI:1780213835
Name:GENERATIONS RETINA
Entity type:Organization
Organization Name:GENERATIONS RETINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:HAMZAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-687-1047
Mailing Address - Street 1:790 GENERATIONS DR STE 810
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6866
Mailing Address - Country:US
Mailing Address - Phone:830-302-4700
Mailing Address - Fax:830-302-4700
Practice Address - Street 1:790 GENERATIONS DR STE 810
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6866
Practice Address - Country:US
Practice Address - Phone:830-302-4700
Practice Address - Fax:830-302-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-02
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty