Waziha Samin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9008TG Issued in TX

Practice address

2301 S Hampton Rd Ste 500
Dallas, TX 75224-1654

Phone

(214) 330-3937

Fax

(214) 330-3939

NPI assigned

Jun 20, 2016

Last updated

Jun 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 4, 2022 through Mar 4, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Eye Centers of North Texas, PLLC

  dba Eye Centers of North Texas

  • Retina Specialist (Ophthalmology) Physician
  • Mount Pleasant, TX
  • NPI 1982250262
  NPD
• John D. Coble

  dba Eyecare of Greenville

  • Medical Specialty Clinic/Center
  • Greenville, TX
  • NPI 1851403877

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1548610629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S HAMPTON RD STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241654",
            "telephone_number": "214-330-3937",
            "fax_number": "214-330-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S HAMPTON RD STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241654",
            "telephone_number": "214-330-3937",
            "fax_number": "214-330-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 N Central Expy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750802050",
            "country_code": "US",
            "telephone_number": "469-435-3045",
            "fax_number": "469-828-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMIN",
        "first_name": "WAZIHA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "9008TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9008TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360850701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamalanthan Kolandavelu Sambandam, M.D.
• Robert Samczuk, LPC
• Sameer Fino MD
• Sameer S. Jejurikar, M.D., P.a.
• Samin Professional Services LLC
• Sharone Samkutty Thomas
• Eberhard Roy Samlowski, MD
• David Sammarco, DC
• Douglas M Sammer, MD
• Eric Sammons, CRNA

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.