Organization Active NPI

Amro Habib OD LLC

  • Ophthalmologic Surgery Clinic/Center
  • Tucson, AZ
National Provider Identifier
1205023801
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
01129 Issued in AZ
Legal business name
AMRO HABIB OD LLC
Practice address
8280 N Cortaro Rd
Tucson, AZ 85743-9393
Phone
(520) 744-6721
Fax
(520) 744-6724
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Amro Nashat Habib, ODNPI 1194883413
Title
Member
Phone
(520) 661-4555

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
Ophthalmologic Surgery Clinic/Center 261QS0132X 01129 AZ Primary

Addresses

Primary practice location

8280 N Cortaro Rd
Tucson, AZ 85743-9393

Mailing address

7400 N Clemens Way
Tucson, AZ 85743-8261
Phone (520) 744-6721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080327000307 AZ Part B Supplier - Clinic/Group Practice 6507942828 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

4340 W Ina Rd
Tucson, AZ 85741
Phone (520) 261-2563

Practitioners & affiliated clinicians

Practitioners 2

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1205023801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 N CLEMENS WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857438261",
            "telephone_number": "520-744-6721",
            "fax_number": "520-744-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 N CORTARO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857439393",
            "telephone_number": "520-744-6721",
            "fax_number": "520-744-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMRO HABIB OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "AMRO",
        "authorized_official_middle_name": "NASHAT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-661-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "AZ",
            "license": "01129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.