Individual provider Active NPI

Hashaam Shahid

  • Optician
  • Philadelphia, PA
National Provider Identifier
1639329675
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
201257830 Issued in PA
Practice address
1706 Franklin Mills Circle
Eye Wise
Philadelphia, PA 19154
Phone
(215) 612-0340
NPI assigned
Sep 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 201257830 PA Primary

Addresses

Primary practice location

1706 Franklin Mills Circle
Eye Wise
Philadelphia, PA 19154

Mailing address

1706 Franklin Mills Circle
Eye Wise
Philadelphia, PA 19154
Phone (215) 612-0340

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Wise Optician Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1639329675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 FRANKLIN MILLS CIRCLE",
            "address_2": "EYE WISE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19154",
            "telephone_number": "215-612-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 FRANKLIN MILLS CIRCLE",
            "address_2": "EYE WISE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19154",
            "telephone_number": "215-612-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "HASHAAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PA",
            "license": "201257830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.