Individual provider Active NPI

Tarek Hammami Hawasly, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1124216098
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007638-1 Issued in NY
Practice address
1234 Avenue U
Brooklyn, NY 11229-4102
Phone
(949) 300-8469
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007638-1 NY Primary
Optometrist 152W00000X OPT13300TPA CA

Addresses

Primary practice location

1234 Avenue U
Brooklyn, NY 11229-4102

Mailing address

1234 Avenue U
Brooklyn, NY 11229-4102
Phone (949) 300-8469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000284 NY Practitioner - OptometryPractitioner - Ophthalmology 7911052279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT13300TPACAMDOptometrist
TUV007638-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Designs Unlimited Optometry PC Optometrist PastSince Nov 12, 2012 Accepting new patients
Hights Optical Inc Optometrist PastSince Jun 22, 2021 Accepting new patients
San Gabriel Valley Audiology and Hearing AIDS Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1124216098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294102",
            "telephone_number": "949-300-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294102",
            "telephone_number": "949-300-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWASLY",
        "first_name": "TAREK",
        "middle_name": "HAMMAMI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007638-1",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13300TPA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.