Provider Demographics
NPI:1619773769
Name:MAKKI, KAREEM HUSSEIN (ABOC, CPO)
Entity type:Individual
Prefix:
First Name:KAREEM
Middle Name:HUSSEIN
Last Name:MAKKI
Suffix:
Gender:M
Credentials:ABOC, CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 HEATHER BROOK DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-2775
Mailing Address - Country:US
Mailing Address - Phone:972-730-6688
Mailing Address - Fax:
Practice Address - Street 1:730 W EXCHANGE PKWY
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-7078
Practice Address - Country:US
Practice Address - Phone:972-649-0361
Practice Address - Fax:972-383-4934
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240360156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician