Asma Saeed Alizai, O.D.
Individual provider Active NPI Optometrist · Northport, NY
NPI 1861741035 · NPPES record last updated Sep 27, 2013
Key facts
- NPI
- 1861741035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TUV 007918 (NY)
- Practice address
- 79 Middleville Rd
Northport, NY 11768-2200 - Phone
- (631) 261-4400
- NPI assigned
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140220000016 | NY | Practitioner - Optometry | 2668602566 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV 007918 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Health Care Long Island | Current |
Accepting new patients | |
| Harmony Health Care Long Island | Current |
Accepting new patients | |
| Harmony Health Care Long Island | Current | Accepting new patients |
Locations
101 S Bergen Pl
Freeport, NY 11520
Phone (516) 623-3600
135 Main St
Hempstead, NY 11550
Phone (516) 292-3111
682 Union Ave
Westbury, NY 11590
Phone (516) 571-9500
Interoperability endpoints
- asma.alizai@lifqhc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV 007918 | NY | Yes |
Addresses
Primary practice location
79 Middleville Rd
Northport, NY 11768-2200
Mailing address
79 Middleville Rd
Northport, NY 11768-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007918 | Other | NY | LICENSE |
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.