Individual provider Active NPI

Raazia Syedda, OD

  • Optometrist
  • Riverhead, NY
National Provider Identifier
1386217974
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009399 Issued in NY
Practice address
1224 Ostrander Ave
Riverhead, NY 11901-2109
Phone
(631) 727-2858
NPI assigned
Jul 21, 2021
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009399 NY Primary

Addresses

Primary practice location

1224 Ostrander Ave
Riverhead, NY 11901-2109

Mailing address

1224 Ostrander Ave
Riverhead, NY 11901-2109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20210804001999 NY Practitioner - Optometry 3779987391 Reassigns benefits to 4 organizations
I20240605002777 CA Practitioner - Optometry 3779987391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodbridge Optometry IncGroup PAC ID 6901181510, 6 clinicians

Practice addresses (Care Compare)

4505 Barranca Pkwy
Suite C
Irvine, CA 92604-4797
Phone (949) 857-0676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009399NYMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Eyes Inc Optometrist CurrentSince Jun 12, 2023 Accepting new patients
SVC of Murray Hill, LLC Optometrist CurrentSince Jun 12, 2023 Accepting new patients
SVC of Bensonhurst LLC Optometrist CurrentSince Jun 12, 2023 Accepting new patients
SVC of Manhasset LLC Optometrist CurrentSince Jun 12, 2023 Accepting new patients
Sound Vision Care, Inc. Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Long Island Optometric Eyecare,PC Optometrist CurrentSince Jun 12, 2023 Accepting new patients
SVC of Mastic LLC Optometrist CurrentSince Jun 12, 2023 Accepting new patients
Dr. Alissa Wald and Associates Optometry, Inc. Optometrist CurrentSince Jun 1, 2024 Accepting new patients
SVC of Forest Hills One LLC Optometrist CurrentSince Jun 12, 2023 Accepting new patients
Woodbridge Optometry, Inc. Optometrist CurrentSince Jun 1, 2024 Accepting new patients
SVC of Fresh Meadows LLC Optometrist CurrentSince Jun 12, 2023 Accepting new patients
Alan R Minkoff OD Optometrist PastSince Jun 12, 2023 Accepting new patients
Christopher P. Likens & Nancy L. Wilson PTR Optometrist Past Accepting new patients
Abraham T. Winter,M.D.P.C PastSince Jun 12, 2023 Accepting new patients
Continental Vision, Inc. PastSince Jun 12, 2023 Accepting new patients

Locations

1545 Adams Ave
Ste 100
Costa Mesa, CA 92626
Phone (714) 545-9162

4505 Barranca Pkwy
Ste C
Irvine, CA 92604
Phone (949) 857-0676

6806 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 236-4352

3650 Route 112
Ste 101
Coram, NY 11727
Phone (631) 320-3200

7119 Austin St
Forest Hills, NY 11375
Phone (718) 268-7709

6130A 190th St
Fresh Meadows, NY 11365
Phone (718) 454-8484

1360 Montauk Hwy
Ste 2E
Mastic, NY 11950
Phone (631) 281-2474

1721 N Ocean Ave
Ste A
Medford, NY 11763
Phone (631) 447-2020

458 3rd Ave
New York, NY 10016
Phone (212) 696-5590

433 Plandome Rd
Plandome, NY 11030
Phone (516) 627-0208

1224 Ostrander Ave
Riverhead, NY 11901
Phone (631) 727-2858

215 Hallock Rd
Ste 2
Stony Brook, NY 11790
Phone (631) 675-6909

200 Montauk Hwy
Westhampton Beach, NY 11978
Phone (631) 283-0220

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1386217974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 OSTRANDER AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 OSTRANDER AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012109",
            "telephone_number": "631-727-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYEDDA",
        "first_name": "RAAZIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.