Individual provider Active NPI

Asghar G. Dedhar, O.D.

  • Optometrist
  • Ozone Park, NY
National Provider Identifier
1063480184
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006955 Issued in NY
Practice address
102-22 Atlantic Avenue
Sap Optical Inc
Ozone Park, NY 11416
Phone
(718) 846-1144
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006955 NY Primary

Addresses

Primary practice location

102-22 Atlantic Avenue
Sap Optical Inc
Ozone Park, NY 11416

Mailing address

1812 Park Ave
East Meadow, NY 11554-4007
Phone (516) 794-8185

Other identifiers 1

IdentifierTypeStateIssuer
2698488MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051116000513 NY Practitioner - Optometry 9931128261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006955NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc CurrentSince Apr 23, 2012 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Apr 23, 2012 Accepting new patients
East West Opticians Past Accepting new patients
Ejmvkk Associates Inc Optometrist PastSince Oct 10, 2021 Accepting new patients
Sap Optical Optometrist Past Accepting new patients

Locations

600 Old Country Rd
Garden City, NY 11530
Phone (516) 745-6564

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

175 E Houston St
Fl 5
San Antonio, TX 78205
Phone (210) 524-6922

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1063480184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 PARK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544007",
            "telephone_number": "516-794-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102-22 ATLANTIC AVENUE",
            "address_2": "SAP OPTICAL INC",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "11416",
            "telephone_number": "718-846-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDHAR",
        "first_name": "ASGHAR",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2698488",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.