Samira F Qazi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3992 Issued in MN

Practice address

5730 Bottineau Blvd
Crystal, MN 55429-3181

Phone

(763) 537-3213

Fax

(763) 537-6732

NPI assigned

Sep 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, MN2 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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crystal Vision Clinic PAGroup PAC ID 2860716396, 4 clinicians

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 and National Provider Directory roles.

• Crystal Vision Clinic PA

  • Optometrist
  • Crystal, MN
  • NPI 1720480007
  Medicare reassignment Care Compare group NPD
• Matthew Logan Wampler, OD

  • Optometrist
  • West Sacramento, CA
  • NPI 1134190689
  Medicare reassignment
• James J Hess & Scott Endres

  • Optometrist
  • Crystal, MN
  • NPI 1215934880
  NPD (past)
• Eye Care Associates OD PA

  • Optometrist
  • Greensboro, NC
  • NPI 1528400223
  NPD (past)
• Eye Care Associates OD PA

  • Optometrist
  • Raleigh, NC
  • NPI 1790937720
  NPD (past)

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1740513803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BOTTINEAU BLVD",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293181",
            "telephone_number": "763-537-3213",
            "fax_number": "763-537-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BOTTINEAU BLVD",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293181",
            "telephone_number": "763-537-3213",
            "fax_number": "763-537-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAZI",
        "first_name": "SAMIRA",
        "middle_name": "F",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Plessel, MS, RD, LD
• Andrew Karn Pogreba
• Dennis Potabenko, H.I.S
• Rachel A Potter, LICSW
• Progressive Home Health, LLC
• Quality Health Care Services
• Ayesha Alam Qureshi
• Jyothsna M Reddy, M.D.
• Redemption Pca Services LLC
• Robert Reese

• Optometrist in Crystal, MN
• Providers in Crystal, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.