Active NPI
Asghar G. Dedhar, O.D.
- Optometrist
- Ozone Park, NY
National Provider Identifier
1063480184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006955
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2698488 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006955 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| East West Opticians | Past | Accepting new patients | |
| Ejmvkk Associates Inc | Optometrist | Past | 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.
-
- Optometrist
- Syracuse, NY
- NPI 1750358826
-
- Eyewear Supplier
- Attleboro, MA
- NPI 1730635582
-
- Optician
- Glen Oaks, NY
- NPI 1750472684
-
- Optometrist
- Ozone Park, NY
- NPI 1992189153
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.