Iqra Quddus

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008745-1 Issued in NY

Practice address

8511 126TH St
Kew Gardens, NY 11415-3312

Phone

(718) 849-7773

NPI assigned

Jun 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, TX, OH3 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 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iqra.quddus.1@18822.direct.athenahealth.com

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.

• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Brownwood Optometrists, P.C.

  dba Early Vision

  • Optometrist
  • Early, TX
  • NPI 1063596849
  Medicare reassignment NPD
• Health Partners of Western Ohio

  dba Old West End Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1760952741
  Medicare reassignment NPD
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Houston, TX
  • NPI 1609348739
  Medicare reassignment NPD
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Health Partners of Western Ohio

  dba Springfield Health Center

  • Federally Qualified Health Center (FQHC)
  • Holland, OH
  • NPI 1396605481
  NPD
• Health Partners of Western Ohio

  dba New Carlisle Community Health Center

  • Federally Qualified Health Center (FQHC)
  • New Carlisle, OH
  • NPI 1760640817
  NPD
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • College Station, TX
  • NPI 1235778127
  NPD
• Med Southwest, PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1679440762
  NPD

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1821582818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 LINCOLN PL",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 126TH ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153312",
            "telephone_number": "718-849-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUDDUS",
        "first_name": "IQRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008745-1",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9462TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promet Physical Therapy, PC
• Tatyana Pukhovich
• Marni Shannon Purnell, LPN
• Alexa Francia Pyatsky
• Q Pharmacy RX Inc
• Queens Blvd RX Corp. (Prime Med Pharmacy)
• Queens Replacement LLC (Kew Gardens Dialysis Center)
• Queens Wellness Inc
• Amy Beth Rachman, MA,CCC-SLP
• Danil Isakovich Rafailov, MD

• Optometrist in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.