Provider Demographics
NPI:1194883413
Name:HABIB, AMRO NASHAT (OD)
Entity type:Individual
Prefix:DR
First Name:AMRO
Middle Name:NASHAT
Last Name:HABIB
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:7400 N CLEMENS WAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-8261
Mailing Address - Country:US
Mailing Address - Phone:520-661-4555
Mailing Address - Fax:520-744-6724
Practice Address - Street 1:8280 N CORTARO RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-9393
Practice Address - Country:US
Practice Address - Phone:520-744-6721
Practice Address - Fax:520-744-6724
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ01129152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist