DR. ATHA ALI HYDERI O.D NPI 1689617375

NPI Information

  • NPI: 1689617375
  • Provider Name: DR. ATHA ALI HYDERI, O.D
  • Classification: Optometrist - 152WP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 833 N ROSELLE RD
    ROSELLE, IL
    ZIP 60172
  • Phone: (630) 660-5737

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NPI Details

DR. Atha Ali Hyderi, O.D is a pediatrics optometrist in Roselle, IL with 23 years of experience. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. DR. Atha Ali Hyderi, O.D NPI is 1689617375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year:2002

The provider's business location address is:

833 N ROSELLE RD
ROSELLE, IL
ZIP 60172
Phone: (630) 660-5737

The NPI 1689617375 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/13/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristILLINOISNo
2152WC0802XOptometristCorneal and Contact ManagementILLINOISNo
3152WP0200XOptometristPediatricsILLINOISYes
4152WS0006XOptometristSports VisionILLINOISNo
5152WX0102XOptometristOccupational VisionILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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