Organization Active NPI

Farah Hassam LLC

Doing business as See Clear Eye Care

  • Optometrist
  • Dallas, TX
National Provider Identifier
1194256164
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8625TG Issued in TX
Legal business name
FARAH HASSAM LLC
Doing business as
See Clear Eye Care
Practice address
8055 Churchill Way
Dallas, TX 75251-2149
Phone
(469) 680-7561
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Farah HassamNPI 1184019549
Title
Optometrist
Phone
(469) 680-7561

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 8625TG TX Primary

Addresses

Primary practice location

8055 Churchill Way
Dallas, TX 75251-2149

Mailing address

8055 Churchill Way
Dallas, TX 75251-2149

Other names 1

  • See Clear Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170515000321 TX Part B Supplier - Clinic/Group Practice 7416234729 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1194256164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 CHURCHILL WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 CHURCHILL WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512149",
            "telephone_number": "469-680-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARAH HASSAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "HASSAM",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "469-680-7561"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8625TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "See Clear Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.