NPI 1285293100 · live from the CMS NPI Registry
Hares Banuwal, OD
Optometrist in Oxon Hill, MD. National Provider Identifier 1285293100, active.
NPI record
| NPI | 1285293100 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 6178 Oxon Hill Rd Ste 100, Oxon Hill, MD 20745 |
| Practice phone | 301-839-5555 |
| Mailing address | 8614 Westwood Center Dr Fl 9, Vienna, VA 22182 |
| Enumerated | June 13, 2019 |
| Last updated | November 2, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 0618003161 (VA) |
| Ophthalmology | 207W00000X | 0618003161 (VA) |
| Optometrist primary | 152W00000X | TA2676 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.