Individual provider Active NPI

Mahjabeen S Hussain, O D

  • Optometrist
  • Lombard, IL
National Provider Identifier
1942500798
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008593 Issued in IL
Practice address
10 E 22ND St
Suite 212
Lombard, IL 60148-4977
Phone
(630) 495-8633
Fax
(630) 495-8643
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008593 IL Primary

Addresses

Primary practice location

10 E 22ND St
Suite 212
Lombard, IL 60148-4977

Mailing address

10 E 22ND St
Suite 212
Lombard, IL 60148-4977
Phone (630) 495-8633

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)
Enrolled

Interoperability endpoints

  • Direct secure messaging: mahjabeen.hussain.1@26824.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1942500798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST",
            "address_2": "SUITE 212",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484977",
            "telephone_number": "630-495-8633",
            "fax_number": "630-495-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST",
            "address_2": "SUITE 212",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484977",
            "telephone_number": "630-495-8633",
            "fax_number": "630-495-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "MAHJABEEN",
        "middle_name": "S",
        "credential": "O D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.