Humera Siddiqui, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3767 Issued in FL

Practice address

904 Cypress Pkwy
Walmart Vision Center
Kissimmee, FL 34759-3456

Phone

(407) 870-2405

Fax

(407) 870-2409

NPI assigned

Mar 24, 2008

Last updated

Mar 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Optimeyes PLLC

  dba Optimeyes

  • Optometrist
  • Kissimmee, FL
  • NPI 1982356572
  NPD Authorized official
• Humera Siddiqui, O.D., P.a.

  • Optometrist
  • Kissimmee, FL
  • NPI 1174762991
  NPD (past) Authorized official

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1265604847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CYPRESS PARKWAY",
            "address_2": "WALMART VISION CENTER",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34759",
            "telephone_number": "407-870-2405",
            "fax_number": "407-870-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CYPRESS PKWY",
            "address_2": "WALMART VISION CENTER",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593456",
            "telephone_number": "407-870-2405",
            "fax_number": "407-870-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "HUMERA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyala Shuler
• Katherine Shulterbrandt
• Sarah Siak, PAC MPAS
• Irfan Siddique, M.D
• Hana Siddiqui
• Imaan Siddiqui, DO
• Mohammad T Siddiqui, M.D.
• Shoaib Siddiqui, M.D.
• Sidi a Elaloui MD.PA
• Stephanie Anella Siegel

• Optometrist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.