Individual provider Active NPI

Farihah Mahmood

  • Optometrist
  • Woodside, NY
National Provider Identifier
1699379511
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009280 Issued in NY
Practice address
5311 Broadway
Woodside, NY 11377-1730
Phone
(718) 255-1040
NPI assigned
Nov 23, 2020
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009280 NY Primary

Addresses

Primary practice location

5311 Broadway
Woodside, NY 11377-1730

Mailing address

15 Disc LN
Wantagh, NY 11793-1811
Phone (347) 531-3983

Other practice location 1

5227 Broadway
Bronx, NY 10463-7636
Phone (212) 693-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201218001338 NY Practitioner - Optometry 4284046020 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009280NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NK Optometry PLLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Sightrite Inc Optometrist CurrentSince Dec 1, 2020 Accepting new patients

Locations

233B E 149th St
Bronx, NY 10451
Phone (407) 574-0433

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

5311 Broadway
Woodside, NY 11377
Phone (718) 255-1040

Organizations & group practices 2

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": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1699379511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DISC LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931811",
            "telephone_number": "347-531-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 BROADWAY",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771730",
            "telephone_number": "718-255-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5227 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104637636",
            "country_code": "US",
            "telephone_number": "212-693-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "FARIHAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.