Elie Islam, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009307 Issued in NY

Practice address

2261 Broadway
New York, NY 10024-5402

Phone

(347) 894-1424

NPI assigned

Jul 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Eye Man LTD.

  • Eyewear Supplier
  • New York, NY
  • NPI 1427272087
  NPD (past)

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1174194476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 KENNEDY BLVD E APT 45",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934510",
            "telephone_number": "347-894-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245402",
            "telephone_number": "347-894-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "ELIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Iskhakova, PHARM D
• Isla Drug Stores Inc
• Aasiya Islam
• Amirul Islam, PHARMACIST
• Ansha Janna Islam
• Fahmida Islam, MD, MS
• Karimul Islam, MD
• Mehrin Islam, M.D.
• Mohammad S Islam, PHARMACIST
• Nirvana Islam, PHARMD

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.