Basic Information
| Provider Information | |||||||||
| NPI: | 1962887349 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HASHMI | ||||||||
| FirstName: | SAARA | ||||||||
| MiddleName: | |||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 26 S GREELEY AVE STE 4 | ||||||||
| Address2: | |||||||||
| City: | CHAPPAQUA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105143331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9142383030 | ||||||||
| FaxNumber: | 9142385757 | ||||||||
| Practice Location | |||||||||
| Address1: | 26 S GREELEY AVE STE 4 | ||||||||
| Address2: | |||||||||
| City: | CHAPPAQUA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105143331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9142383030 | ||||||||
| FaxNumber: | 9142385757 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2015 | ||||||||
| LastUpdateDate: | 04/20/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 56-008314 | NY | Y | Eye and Vision Services Providers | Optometrist |
ID Information
| ID | Type | State | Issuer | Description | 04703875 | 05 | NY | MEDICAID |