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Active NPI 1780566430 Individual Practitioner Male Practitioner

Dr. Abu Bakker Siddik , OD

Optometrist • Valley Stream, NY

Professional Overview & Biography Verified Profile Summary

Dr. Abu Siddik, OD is a registered healthcare professional specializing in Optometrist in Valley Stream, NY. Practice services are available at 260 W SUNRISE HWY # 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

260 W Sunrise Hwy # 100

Valley Stream, NY 115811011

Telephone 5167912790

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Valley Stream, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.4 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
14 Specialists

Practicing in Valley Stream, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-11
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY 011280

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 11, 2025

Registered at 260 W SUNRISE HWY # 100, VALLEY STREAM, NY 115811011 (Tel: 5167912790)

📍
Updated Business Mailing Address August 11, 2025

Registered at 260 W SUNRISE HWY # 100, VALLEY STREAM, NY 115811011 (Tel: 5167912790)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2025

Optometrist (License #011280 in NY)

NPI Profile Active July 23, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2025

Registered at 33 W 42ND ST, NEW YORK, NY 100368005 (Tel: 2129384000)

📍
Updated Business Mailing Address July 23, 2025

Registered at 33 W 42ND ST, NEW YORK, NY 100368005

👤
Provider Name / Credentials Updated July 23, 2025

Recorded as ABU SIDDIK, O.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 23, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780566430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2025
Last Update: August 11, 2025
Sole Proprietor: No

Mailing Address

260 W Sunrise Hwy # 100

Valley Stream, NY 115811011

Phone: 5167912790

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.