Individual provider Active NPI

Syed Nabeel Hasan, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1841803632
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9997 Issued in TX
Practice address
15900 La Cantera Pkwy Ste 6697
San Antonio, TX 78256-2428
Phone
(210) 694-4110
NPI assigned
Aug 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009718 NY
Optometrist 152W00000X 9997 TX Primary

Addresses

Primary practice location

15900 La Cantera Pkwy Ste 6697
San Antonio, TX 78256-2428

Mailing address

2503 Hampton Park LN
Sugar Land, TX 77479-1258
Phone (281) 935-0048

Other practice location 1

5535 W Loop 1604 N Ste 104
San Antonio, TX 78253-7317
Phone (210) 688-9272

Other practice location 2

7400 San Pedro Ave Ste 486
San Antonio, TX 78216-8312
Phone (210) 541-0008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20200930002768 TX Practitioner - Optometry 2668891219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9997TXMDGeneral Practice Dentistry
009718NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1841803632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 HAMPTON PARK LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791258",
            "telephone_number": "281-935-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY STE 6697",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562428",
            "telephone_number": "210-694-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5535 W Loop 1604 N Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782537317",
            "country_code": "US",
            "telephone_number": "210-688-9272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 San Pedro Ave Ste 486",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782168312",
            "country_code": "US",
            "telephone_number": "210-541-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SYED NABEEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009718",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.