Individual provider Active NPI

Samar Awad, O.D.

  • Optometrist
  • Rockaway Park, NY
National Provider Identifier
1245375211
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005304 Issued in NY
Practice address
One Beach 105 St
8G
Rockaway Park, NY 11694-2637
Phone
(646) 239-8777
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000046 NY Practitioner - Optometry 6507980349 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT005304NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Voytek Consulting Corp. CurrentSince Apr 1, 2025 Accepting new patients
Alpha Specs Inc Optometrist CurrentSince Feb 1, 2025 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 and National Provider Directory roles.

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

Verify at the official NPI Registry.