Jose Raul Cordova, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1100 Issued in NH

Practice address

1979 Marcus Ave Ste 206
New Hyde Park, NY 11042-1002

Phone

(516) 243-8711

NPI assigned

Feb 27, 2024

Last updated

Mar 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jose Raul Cordova Cuevas Former name

Medicare fee-for-service enrollment

Enrolled in NY, NH, FL3 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 3

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Best Vision, Inc

  • Optometrist
  • Chaffee, NY
  • NPI 1336324300
  Medicare reassignment NPD
• Ejmvkk Associates Inc

  dba Pearle Vision

  • Optometrist
  • Ozone Park, NY
  • NPI 1992189153
  Medicare reassignment NPD
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Framebar Co LLC

  • Optometrist
  • Oceanside, NY
  • NPI 1295384139
  Medicare reassignment NPD
• Myeyedr Optometry of New Hampshire, PLLC

  dba MyEyeDr.

  • Optometrist
  • Milford, NH
  • NPI 1730764754
  Medicare reassignment NPD
• Beacon Christian Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Staten Island, NY
  • NPI 1639246358

  Single Specialty

  Medicare reassignment NPD (past)
• Family First Vision Care, PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1104341882
  Medicare reassignment
• Myeyedr Optometry of Florida, LLC

  dba MyEyeDr.

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028
  Medicare reassignment
• Beacon Christian Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Staten Island, NY
  • NPI 1750700902
  NPD
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Myeyedr Optometry of New Hampshire, PLLC

  • Optometrist
  • Concord, NH
  • NPI 1174482194
  NPD
• Myeyedr Optometry of New Hampshire, PLLC

  dba MyEyeDr.

  • Optometrist
  • Manchester, NH
  • NPI 1336815992
  NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1649036401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16075 NW 64TH AVE APT 108",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147529",
            "telephone_number": "786-285-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVE STE 206",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421002",
            "telephone_number": "516-243-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1100",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "CUEVAS",
            "middle_name": "RAUL CORDOVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gene Coppa, MD
• Kenneth Cordero, M.D.
• Andrew Jonathan Cordiale, D.O.
• Aminta Cordoba, C.R.N.A
• Beverly Cordoba
• Kayla Core
• Alison J. Corley-Dubose, P.A.
• Angelica Corrigan, LCSW
• Annmarie Cortez
• Erica Corwin, RD

• Optometrist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.