Active NPI
Tammer Fayik Elhabiby, OD
- Optometrist
- Buckeye, AZ
National Provider Identifier
1598849879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-001208
- Practice address
- 1111 N Verrado Way
Buckeye, AZ 85326-6795 - Phone
- (480) 618-4015
- Fax
- (480) 618-4016
- NPI assigned
- Oct 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-001208 | AZ | Primary |
| Optometrist | 152W00000X | AZ1208 | AZ |
Addresses
Primary practice location
1111 N Verrado Way
Buckeye, AZ 85326-6795
Mailing address
1111 N Verrado Way
Buckeye, AZ 85326-6795
Phone (480) 618-4015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 25, 2024 through Mar 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ1208 | AZ | MD | Optometrist |
| OPT-001208 | AZ | MD | Optometrist |
Interoperability endpoints
- dr.tammer.elhabiby@direct.eyecare-partners.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1598849879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N VERRADO WAY",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853266795",
"telephone_number": "480-618-4015",
"fax_number": "480-618-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N VERRADO WAY",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853266795",
"telephone_number": "480-618-4015",
"fax_number": "480-618-4016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELHABIBY",
"first_name": "TAMMER",
"middle_name": "FAYIK",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-001208",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "AZ1208",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.