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

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 LLC 121 clinicians

Myeyedr Optometry of West Virginia PLLC 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 and National Provider Directory roles.

• Myeyedr Optometry of West Virginia, PLLC

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

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437

  MD, Optometrist

  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of West Virginia, PLLC

  • Optometrist
  • Martinsburg, WV
  • NPI 1700235017
  Care Compare group NPD
• Myeyedr Optometry of West Virginia, PLLC

  • Optometrist
  • Parkersburg, WV
  • NPI 1356812804
  Care Compare group
• Myeyedr Optometry of West Virginia, PLLC

  • Optometrist
  • Fairmont, WV
  • NPI 1629620802
  Care Compare group
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Lavale, MD
  • NPI 1306294137
  Care Compare group
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Easton, MD
  • NPI 1386393148
  Care Compare group
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Clinton, MD
  • NPI 1497124796
  Care Compare group
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Forest Hill, MD
  • NPI 1780066936
  Care Compare group
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Hagerstown, MD
  • NPI 1972951705
  Care Compare group
• Myeyedr Optometry of West Virginia, PLLC

  • Optometrist
  • Charles Town, WV
  • NPI 1639528946
  NPD
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Thurmont, MD
  • NPI 1134585235
  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": []
}

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

• All providers in Martinsburg, WV
• 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.