Individual provider Active NPI

Hossain Basiri

  • Optician
  • Scottsdale, AZ
National Provider Identifier
1790264695
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
2817I Issued in AZ
Practice address
15090 N Northsight Blvd Ste 105
Scottsdale, AZ 85260-2609
Phone
(480) 550-4747
NPI assigned
Aug 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 2817I AZ Primary

Addresses

Primary practice location

15090 N Northsight Blvd Ste 105
Scottsdale, AZ 85260-2609

Mailing address

15090 N Northsight Blvd Ste 105
Scottsdale, AZ 85260-2609
Phone (480) 550-4747

Other identifiers 1

IdentifierTypeStateIssuer
D07020536OtherAZDRIVER LICENSE

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

State licenses

LicenseStateTypeSpecialty
2817IAZMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Hfhe LLC 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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1790264695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15090 N NORTHSIGHT BLVD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602609",
            "telephone_number": "480-550-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15090 N NORTHSIGHT BLVD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602609",
            "telephone_number": "480-550-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIRI",
        "first_name": "HOSSAIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "2817I",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "D07020536",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.