Active NPI
Humaira Hassan, O.D,
- Optometrist
- Roanoke, TX
National Provider Identifier
1740722669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9118T
- Practice address
- 1104 N Highway 377 Ste 200
Roanoke, TX 76262-9124 - Phone
- (817) 491-2018
- NPI assigned
- Nov 9, 2016
- Last updated
- Nov 9, 2016
- Sex
- Female
- 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 | 9118T | TX | Primary |
Addresses
Primary practice location
1104 N Highway 377 Ste 200
Roanoke, TX 76262-9124
Mailing address
1104 N Highway 377 Ste 200
Roanoke, TX 76262-9124
Phone (817) 491-2018
Other names 1
- Humaira Fareed
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9118T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Spring Optometry, LLC | Optometrist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1740722669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 N HIGHWAY 377 STE 200",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762629124",
"telephone_number": "817-491-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 N HIGHWAY 377 STE 200",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762629124",
"telephone_number": "817-491-2018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "HUMAIRA",
"credential": "O.D,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9118T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HUMAIRA",
"last_name": "FAREED",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Roanoke, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.