Organization Active NPI

Sehdev Optometry, PC

  • Optometrist
  • Glen Oaks, NY
National Provider Identifier
1225735202
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SEHDEV OPTOMETRY, PC
Practice address
258-18 Hillside Ave
Glen Oaks, NY 11004
Phone
(718) 470-2280
Fax
(718) 470-2524
NPI assigned
Feb 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Dr. Harry Sehdev, ODNPI 1922775535
Title
President
Phone
(516) 830-5275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

258-18 Hillside Ave
Glen Oaks, NY 11004

Mailing address

258-08 Hillside Ave
Glen Oaks, NY 11004
Phone (718) 470-2280

Other names 1

  • SEHDEV Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230706003376 NY Part B Supplier - Clinic/Group Practice 4587023718 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Oaks, NY

National Provider Directory

National Provider Directory

Locations

25818 Hillside Ave
Glen Oaks, NY 11004
Phone (718) 470-2280

25808 Hillside Ave
Glen Oaks, NY 11004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1225735202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258-08 HILLSIDE AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-470-2280",
            "fax_number": "718-470-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258-18 HILLSIDE AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-470-2280",
            "fax_number": "718-470-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEHDEV OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-29",
        "status": "A",
        "authorized_official_last_name": "SEHDEV",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-830-5275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEHDEV Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.