Syeda Kutub, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002340 Issued in VA

Legal business name

SYEDA KUTUB, PC

Doing business as

Dr. Syeda Kutub Eyecare Professionals

Practice address

5901 Duke St
Alexandria, VA 22304-3211

Phone

(703) 914-2144

Fax

(703) 354-4124

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Syeda Kutub, O.D.NPI 1639583107

Title

Optometrist

Phone

(703) 914-2144

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Syeda Kutub Eyecare Professionals Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syeda Kutub, O.D.

  • Optometrist
  • Arlington, VA
  • NPI 1639583107

  DC

  Medicare reassignment NPD Authorized official
• Steven Nguyen-Anh Phan, O.D.

  • Optometrist
  • Arlington, VA
  • NPI 1427842111
  NPD (past)

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1902284862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043211",
            "telephone_number": "703-914-2144",
            "fax_number": "703-354-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043211",
            "telephone_number": "703-914-2144",
            "fax_number": "703-354-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYEDA KUTUB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "KUTUB",
        "authorized_official_first_name": "SYEDA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "703-914-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "433474",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Syeda Kutub Eyecare Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey M Swartz, PHARM.D.
• Sweet Speech Therapy, LLC
• Lacinda Swen, LCSW
• Switchboard Health, Inc.
• Waleed Mohammed Syed
• Jack Carter Sykstus, LMFT
• Barbara Joan Syler, PT
• Conrad C Sylvanus Jr., BT
• Oshua Symeonides
• Symmetry Counseling LLC

• Optometrist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.