Active NPI
Hani S. Ghazi-Birry, OD
- Optometrist
- San Antonio, TX
National Provider Identifier
1205820487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2272
- Practice address
- 9725 Datapoint Dr
San Antonio, TX 78229-2384 - Phone
- (210) 883-1194
- Fax
- (210) 283-6825
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2272 | TN | Primary |
Addresses
Primary practice location
9725 Datapoint Dr
San Antonio, TX 78229-2384
Mailing address
9725 Datapoint Dr
San Antonio, TX 78229-2384
Phone (210) 883-1194
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2272 | Other | TN | OD |
| 3596929 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2272 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1205820487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9725 DATAPOINT DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782292384",
"telephone_number": "210-883-1194",
"fax_number": "210-283-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9725 DATAPOINT DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782292384",
"telephone_number": "210-883-1194",
"fax_number": "210-283-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAZI-BIRRY",
"first_name": "HANI",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OD",
"identifier": "2272",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3596929",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.