Active NPI
Abu Bakker Siddik, O.D
- Optometrist
- Valley Stream, NY
National Provider Identifier
1780566430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 011280
- Practice address
- 260 W Sunrise Hwy # 100
Valley Stream, NY 11581-1011 - Phone
- (516) 791-2790
- NPI assigned
- Jul 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 011280 | NY | Primary |
Addresses
Primary practice location
260 W Sunrise Hwy # 100
Valley Stream, NY 11581-1011
Mailing address
260 W Sunrise Hwy # 100
Valley Stream, NY 11581-1011
Phone (516) 791-2790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011280 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1780566430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 W SUNRISE HWY # 100",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811011",
"telephone_number": "516-791-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 W SUNRISE HWY # 100",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811011",
"telephone_number": "516-791-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIK",
"first_name": "ABU",
"middle_name": "BAKKER",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-23",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "011280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.