Active NPI
Samar Awad, O.D.
- Optometrist
- Rockaway Park, NY
National Provider Identifier
1245375211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT005304
- Practice address
- One Beach 105 St
8G
Rockaway Park, NY 11694-2637 - Phone
- (646) 239-8777
- NPI assigned
- Feb 20, 2007
- Last updated
- Jun 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | VUT005304 | NY | Primary |
Addresses
Primary practice location
One Beach 105 St
8G
Rockaway Park, NY 11694-2637
Mailing address
One Beach 105 St
8G
Rockaway Park, NY 11694
Phone (646) 239-8777
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 |
|---|---|---|---|
| VUT005304 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Voytek Consulting Corp. | Current | Accepting new patients | |
| Alpha Specs Inc | Optometrist | Current | Accepting new patients |
Locations
6545 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-7850
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1245375211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE BEACH 105 ST",
"address_2": "8G",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "11694",
"telephone_number": "646-239-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE BEACH 105 ST",
"address_2": "8G",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116942637",
"telephone_number": "646-239-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAD",
"first_name": "SAMAR",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT005304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.