| Iqra Azam, OD | |
|
2127 Crompond Rd Ste 101, Cortlandt Manor, NY 10567-4328 | |
| (914) 737-2020 | |
| (914) 737-5436 |
| Full Name | Iqra Azam |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 2127 Crompond Rd Ste 101, Cortlandt Manor, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528786241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 27OA00715600 (New Jersey) | Secondary |
| 152W00000X | Optometrist | 009643 (New York) | Primary |
| Provider Name | Empire Vision Center Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750358826 PECOS PAC ID: 4688573876 Enrollment ID: O20040107000405 |
| Provider Name | 200 West Optics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831770890 PECOS PAC ID: 5395144380 Enrollment ID: O20210525000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Iqra Azam, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Iqra Azam, OD 2127 Crompond Rd Ste 101, Cortlandt Manor, NY 10567-4328 Ph: (914) 737-2020 |
Dr. Laurence Lonky, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2127 Crompond Rd, Suite 103, Cortlandt Manor, NY 10567 Phone: 914-737-2020 Fax: 914-737-5436 | |
200 West Optics, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2127 Crompond Rd Ste 101, Cortlandt Manor, NY 10567 Phone: 914-737-2020 Fax: 914-737-5436 | |
Dr. Christina Gorman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2127 Crompond Rd, Cortlandt Manor, NY 10567 Phone: 914-737-2020 | |
Dr. Monika Ellen Guethlein, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2127 Crompond Rd, Cortlandt Manor, NY 10567 Phone: 914-737-2020 | |
Cortlandt Eyecare P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2127 Crompond Rd, Suite 103, Cortlandt Manor, NY 10567 Phone: 914-737-2020 Fax: 914-737-5436 |