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DR. MOHAMED AJAZ SIDDIQUI O.D.
NPI 1306072699
Optometrist in Fremont, CA

Active since June 01, 2009PECOS Enrolled
4812 MENDOCINO TER, FREMONT, CA 94555(510) 468-7708 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mohamed Ajaz Siddiqui O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MOHAMED AJAZ SIDDIQUI O.D. (NPI 1306072699) is an individual optometrist in Fremont, California, licensed in California (12465) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306072699
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MOHAMED AJAZ SIDDIQUICredential: O.D.
Location Address4812 MENDOCINO TERFremont, CA 94555-2834
Mailing Address4812 Mendocino TerFremont, CA 94555-2834 · (510) 468-7708
Phone(510) 468-7708
Sole ProprietorYes
Enumeration DateJune 1, 2009
✔ NPI 1306072699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 12465
Definition
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.
4812 MENDOCINO TER, Fremont, CA 94555
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohamed Ajaz Siddiqui O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94555 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohamed Siddiqui's NPI number?

The NPI number for Mohamed Siddiqui is 1306072699. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Mohamed Siddiqui located?

Mohamed Siddiqui practices at 4812 Mendocino Ter, Fremont, CA 94555. The listed phone number is (510) 468-7708.

What is Mohamed Siddiqui's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mohamed Siddiqui enrolled in Medicare?

Yes. Mohamed Siddiqui is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohamed Siddiqui was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.