Active NPI
Syed Nabeel Hasan, OD
- Optometrist
- San Antonio, TX
National Provider Identifier
1841803632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9997
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200930002768 | TX | Practitioner - Optometry | 2668891219 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9997 | TX | MD | General Practice Dentistry |
| 009718 | NY | MD | Physical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.