Humza Kidwai, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2785 Issued in MD

Practice address

5405 Williamsport Pike
Martinsburg, WV 25404-6495

Phone

(304) 263-4000

Fax

(304) 263-4004

NPI assigned

Mar 24, 2020

Last updated

Nov 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, WV2 enrollments

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 2

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Myeyedr Optometry of West Virginia PLLCGroup PAC ID 6709170434, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Myeyedr Optometry of West Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Martinsburg, WV
  • NPI 1053760363
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of West Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Charles Town, WV
  • NPI 1639528946
  NPD
• Myeyedr Optometry of West Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Martinsburg, WV
  • NPI 1700235017
  NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Thurmont, MD
  • NPI 1134585235
  NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Laurel, MD
  • NPI 1972900058
  NPD

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1265069876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 WILLIAMSPORT PIKE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254046495",
            "telephone_number": "304-263-4000",
            "fax_number": "304-263-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Foxcroft Ave",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254011835",
            "country_code": "US",
            "telephone_number": "304-267-9911",
            "fax_number": "304-267-9914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12916 Conamar Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422760",
            "country_code": "US",
            "telephone_number": "301-733-4944",
            "fax_number": "301-733-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDWAI",
        "first_name": "HUMZA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2076-IOD",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahnoor Ali Khan, MD
• Flore Khenzo
• Ohmmar K Khin, M.D.
• Kidney Specialists, PLLC
• Anissa Kidrick-Weaver
• Brenda Neulen Kiely, SLP
• Kiggundu Radiation Therapy, PA (Kiggundu Radiation Therapy, Inc.)
• Edward W. Kiggundu, MD
• James Kilbane
• Emily Kilmer

• Optometrist in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.