Hanish Eye Institute P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R8613 Issued in MO

Legal business name

HANISH EYE INSTITUTE P.C.

Practice address

1A Village Square Shop Ctr
Hazelwood, MO 63042-1817

Phone

(314) 731-5656

Fax

(314) 731-3215

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sidney J Hanish, M.D.NPI 1568523199

Title

President

Phone

(314) 731-5656

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sidney J Hanish, M.D.

  • Ophthalmology Physician
  • Hazelwood, MO
  • NPI 1568523199

  IL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1821271552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A VILLAGE SQUARE SHOP CTR",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421817",
            "telephone_number": "314-731-5656",
            "fax_number": "314-731-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1A VILLAGE SQUARE SHOP CTR",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421817",
            "telephone_number": "314-731-5656",
            "fax_number": "314-731-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANISH EYE INSTITUTE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "HANISH",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-731-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R8613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOBCBS",
            "identifier": "16711",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0800058",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia Guetterman, PT, DPT
• Curtis D Gunn, CCC-SLP
• Cynthia Guy, M.D.
• GWD Assisted Living LLC
• Robyn Leith Haithcock Sr., DO
• Sidney J Hanish, M.D.
• Kren Kathleen Harmon, LCSW
• Kennisha Harris, DC
• Tekisha Darsha Harris
• Harry W Stadnyk DDS PC

• Ophthalmology Physician in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.