Provider Demographics
NPI:1861580243
Name:HASHEMI, SAIED REZA (OD)
Entity type:Individual
Prefix:DR
First Name:SAIED
Middle Name:REZA
Last Name:HASHEMI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4691 SH 121 STE 700
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4112
Mailing Address - Country:US
Mailing Address - Phone:972-370-3937
Mailing Address - Fax:972-370-3937
Practice Address - Street 1:4691 SH 121
Practice Address - Street 2:STE#700
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056-4010
Practice Address - Country:US
Practice Address - Phone:214-534-3030
Practice Address - Fax:214-469-1212
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6675TG152WC0802X, 152WS0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision