Tahani I. Hamideh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA 1951 Issued in MD

Practice address

14726 Baltimore Ave
14728
Laurel, MD 20707-4816

Phone

(301) 776-0075

Fax

(301) 604-9490

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Tina I. Hamideh Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477683258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 DAYBROOK CIR APT 240",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212375051",
            "telephone_number": "410-258-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14726 BALTIMORE AVE",
            "address_2": "14728",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074816",
            "telephone_number": "301-776-0075",
            "fax_number": "301-604-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIDEH",
        "first_name": "TAHANI",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA 1951",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "HAMIDEH",
            "middle_name": "I.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tigist Woldegebrial Haileselassie, PA
• Hakim O. Ogunsanya
• Kenya C Hall
• Lauren V Halvorson, M.D.
• Erica Hamel
• Kathryn Hamilton, DPT
• Danielle Hammond
• Lara Hammond
• Melissa Hammond, PROSTHETICSPECIALIST
• Peter Hammond, M.D.

• Optometrist in Laurel, MD
• Providers in Laurel, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.