Individual provider Active NPI

Attia Arshad-Noor, OD

  • Optometrist
  • East Patchogue, NY
National Provider Identifier
1366713117
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007690 Issued in NY
Practice address
655 Montauk Hwy
Suite # 29
East Patchogue, NY 11772-4733
Phone
(631) 447-1300
Fax
(631) 447-1302
NPI assigned
Jan 24, 2012
Last updated
Jan 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007690 NY Primary

Addresses

Primary practice location

655 Montauk Hwy
Suite # 29
East Patchogue, NY 11772-4733

Mailing address

655 Montauk Hwy
Suite # 29
East Patchogue, NY 11772-4733
Phone (631) 447-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007690NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Contact Lens & Vision Consultants, Inc Optometrist Past Accepting new patients

Organizations & group practices 1

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": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1366713117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 MONTAUK HWY",
            "address_2": "SUITE # 29",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724733",
            "telephone_number": "631-447-1300",
            "fax_number": "631-447-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MONTAUK HWY",
            "address_2": "SUITE # 29",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724733",
            "telephone_number": "631-447-1300",
            "fax_number": "631-447-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARSHAD-NOOR",
        "first_name": "ATTIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.