Provider Demographics
NPI:1679879605
Name:ALI, ALINAH N (OD)
Entity type:Individual
Prefix:
First Name:ALINAH
Middle Name:N
Last Name:ALI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4907
Mailing Address - Country:US
Mailing Address - Phone:281-240-4448
Mailing Address - Fax:281-240-4446
Practice Address - Street 1:1480 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4907
Practice Address - Country:US
Practice Address - Phone:281-240-4448
Practice Address - Fax:281-240-4446
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7627TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7627TGOtherTEXAS OPTOMETRY LICENSE
TX340713201Medicaid