Hanna Frances Real Fastidio, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002599 Issued in AZ

Practice address

2020 E Rio Salado Pkwy Ste 101
Tempe, AZ 85288-3042

Phone

(480) 967-0563

Fax

(480) 967-0291

NPI assigned

Jul 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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.

Enrollment records 1

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 and National Provider Directory roles.

• Tom Sowash OD & Associates PC

  • Optometrist
  • Chandler, AZ
  • NPI 1174627202
  Medicare reassignment NPD
• Emergency Medical & Surgical Specialists of Colorado LLC

  • Critical Access Hospital
  • Denver, CO
  • NPI 1144669102
  NPD (past)

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1801529581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 E RIO SALADO PKWY APT 3052",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852887482",
            "telephone_number": "916-955-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E RIO SALADO PKWY STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852883042",
            "telephone_number": "480-967-0563",
            "fax_number": "480-967-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASTIDIO",
        "first_name": "HANNA FRANCES",
        "middle_name": "REAL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "002599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anees Farooq, LA.C
• Munazza Farooqi
• Anthony Raymond Farraye, DDS
• Mitchell Gerard Fassaert, DC
• Fast IV Therapy, LLC
• Umaima Fatima, M.D.
• Kelly Anne Faulk, PT, DPT
• Patricia Ann Faust, NP
• Joann Fawcett, D.C.
• Amal Nabil Fayad, LPC

• Optometrist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.