Active NPI
Abraham Anthony Hassan, O.D.
- Optometrist
- Pensacola, FL
National Provider Identifier
1881375954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC6306
- Practice address
- 1630 Airport Blvd Ste 230
Pensacola, FL 32504-8637 - Phone
- (850) 912-4100
- NPI assigned
- Jul 31, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC6306 | FL | Primary |
Addresses
Primary practice location
1630 Airport Blvd Ste 230
Pensacola, FL 32504-8637
Mailing address
1630 Airport Blvd Ste 230
Pensacola, FL 32504-8637
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC6306 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America'S Best Contacts & Eyeglasses | Past | Accepting new patients |
Interoperability endpoints
- abraham.hassan.1@24790.direct.athenahealth.com
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.
-
- Optician
- Pensacola, FL
- NPI 1649514449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1881375954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 AIRPORT BLVD STE 230",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 AIRPORT BLVD STE 230",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048637",
"telephone_number": "850-912-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "ABRAHAM",
"middle_name": "ANTHONY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC6306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.