Fareesa Siddiqui, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004318A Issued in IN

Practice address

2835 Lafayette Rd
Indianapolis, IN 46222-2147

Phone

(317) 924-1300

NPI assigned

May 11, 2021

Last updated

Jul 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City Optical Co IncGroup PAC ID 5597668574, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Bloomington, IN
  • NPI 1003805185
  Medicare reassignment Care Compare group NPD
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Indianapolis, IN
  • NPI 1265429658
  NPD
• City Optical Co., Inc.

  dba Dr. Tavel Family Eye Care

  • Optometrist
  • Merrillville, IN
  • NPI 1356233068
  NPD
• City Optical Co., Inc.

  dba Dr. Tavel Family Eye Care

  • Optometrist
  • Indianapolis, IN
  • NPI 1033107958
  NPD (past)
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Muncie, IN
  • NPI 1306070768
  NPD (past)
• City Optical Co., Inc.

  • Optometrist
  • Fishers, IN
  • NPI 1366274235
  NPD (past)
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Westfield, IN
  • NPI 1730980046
  NPD (past)
• City Optical Co., Inc.

  dba Dr Tavel Family Eye Care

  • Optometrist
  • Terre Haute, IN
  • NPI 1881683977
  NPD (past)

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1780268292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 LAFAYETTE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222147",
            "telephone_number": "179-241-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 LAFAYETTE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222147",
            "telephone_number": "317-924-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 NW 17th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361134",
            "country_code": "US",
            "telephone_number": "305-243-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "FAREESA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004318A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aslam R Siddiqui, MD
• Asma A Siddiqui, MD
• Bilal K Siddiqui, MD
• Essa Siddiqui
• Fahad Shoaib Siddiqui, DO
• Khurram S Siddiqui, MD
• Mohammad Ahsan Siddiqui
• Daniel Alfred Sidhom, DO
• Shauna Kay Sidhom, NP
• Angad Sidhu

• Optometrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.