Individual provider Active NPI

John Iskander

  • Optometrist
  • Tonawanda, NY
National Provider Identifier
1710465349
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008864 Issued in NY
Practice address
2810 Sheridan Dr
Tonawanda, NY 14150-9419
Phone
(716) 834-6000
NPI assigned
Aug 6, 2018
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008864 NY Primary

Addresses

Primary practice location

2810 Sheridan Dr
Tonawanda, NY 14150-9419

Mailing address

1930 Sheridan Dr Apt 7
Tonawanda, NY 14223-1218
Phone (416) 823-2595

Other practice location 1

4934 Transit Rd Ste 400
Depew, NY 14043-4666
Phone (716) 668-1484

Other practice location 2

3840 McKinley Pkwy
Blasdell, NY 14219-3006
Phone (716) 822-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20241114000917 NY Practitioner - Optometry 3375077209 Reassigns benefits to 1 organization
I20241129000494 FL Practitioner - Optometry 3375077209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Empire Vision Center, Inc CurrentSince Nov 1, 2024 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Eye Doctors Optical Outlets, PA Optometrist CurrentSince Oct 1, 2024 Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients

Locations

3761 Tamiami Trl E
Naples, FL 34112
Phone (239) 261-0229

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1710465349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 SHERIDAN DR APT 7",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142231218",
            "telephone_number": "416-823-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509419",
            "telephone_number": "716-834-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4934 Transit Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Depew",
            "state": "NY",
            "postal_code": "140434666",
            "country_code": "US",
            "telephone_number": "716-668-1484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3840 McKinley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Blasdell",
            "state": "NY",
            "postal_code": "142193006",
            "country_code": "US",
            "telephone_number": "716-822-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISKANDER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.