Active NPI
Syeda Mavra Zaidi-Khan, O.D
- Optometrist
- Astoria, NY
National Provider Identifier
1801263074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008344-1
- Practice address
- 2519 35TH St
Astoria, NY 11103-4870 - Phone
- (718) 728-3606
- NPI assigned
- Aug 24, 2015
- Last updated
- Aug 24, 2015
- Sex
- Female
- 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 | TUV008344-1 | NY | Primary |
Addresses
Primary practice location
2519 35TH St
Astoria, NY 11103-4870
Mailing address
3133 69TH St
Woodside, NY 11377-1227
Phone (917) 485-0382
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008344 | NY | MD | Mental Health Counselor |
| TUV008344-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearview Ophthalmology PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Astoria, NY
- NPI 1558558288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1801263074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3133 69TH ST",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113771227",
"telephone_number": "917-485-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2519 35TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034870",
"telephone_number": "718-728-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAIDI-KHAN",
"first_name": "SYEDA",
"middle_name": "MAVRA",
"name_prefix": "Mrs.",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008344-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.