NPIMap

Organization Active NPI

Hashemi & Associates O.D.,P.a

Doing business as EyeClinic Medical

  • Optometrist
  • Lewisville, TX
National Provider Identifier
1104014984
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6174TG Issued in TX
Legal business name
HASHEMI & ASSOCIATES O.D.,P.A
Doing business as
EyeClinic Medical
Practice address
326 S Edmonds LN Ste 101
Lewisville, TX 75067-3507
Phone
(469) 616-2030
Fax
(469) 616-2031
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hamid Hashemi, ODNPI 1750306585
Title
President
Phone
(469) 616-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6174TG TX Primary

Addresses

Primary practice location

326 S Edmonds LN Ste 101
Lewisville, TX 75067-3507

Mailing address

326 S Edmonds LN Ste 101
Lewisville, TX 75067-3507
Phone (469) 616-2030

Other practice location 1

1213 E Trinity Mills Rd
Carrollton, TX 75006-1446
Phone (214) 483-3020

Other identifiers 1

IdentifierTypeStateIssuer
166457501MedicaidTX

Other names 1

  • EyeClinic Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050113000179 TX Part B Supplier - Clinic/Group Practice 0244289627 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: Denton, TX; Lewisville, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Eyeclinic Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1104014984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 S EDMONDS LN STE 101",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673507",
            "telephone_number": "469-616-2030",
            "fax_number": "469-616-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S EDMONDS LN STE 101",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673507",
            "telephone_number": "469-616-2030",
            "fax_number": "469-616-2031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 E Trinity Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750061446",
            "country_code": "US",
            "telephone_number": "214-483-3020",
            "fax_number": "214-483-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HASHEMI & ASSOCIATES O.D.,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "HASHEMI",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-616-2030",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6174TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166457501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeClinic Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.