KEW GARDENS OPTOMETRY, P.C.
NPI 1477703577
Optometrist in Corona, NY

Active since September 25, 2008
10304 ROOSEVELT AVE, CORONA, NY 11368(718) 424-1333(718) 424-1330 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kew Gardens Optometry, P.c. NPPES

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

KEW GARDENS OPTOMETRY, P.C. (NPI 1477703577) is a healthcare organization registered as an optometrist in Corona, New York and active in the NPI registry since September 2008. The organization lists Pezhman Hourizadeh, President, as its authorized official.

NPPES Registry Identity

NPI1477703577
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKEW GARDENS OPTOMETRY, P.C.
Location Address10304 ROOSEVELT AVECorona, NY 11368-2330
Mailing Address10304 Roosevelt AveCorona, NY 11368-2330 · (718) 424-1333 · Fax (718) 424-1330
Fax(718) 424-1330
Organization SubpartNo
Authorized OfficialPezhman HourizadehPresident · (718) 263-2020
Enumeration DateSeptember 25, 2008
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1477703577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
10304 ROOSEVELT AVE, Corona, NY 11368

Other Identifiers 1

Medicaid03287845NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kew Gardens Optometry, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kew Gardens Optometry, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1205851706
10306 ROOSEVELT AVE
Corona, NY 11368
(718) 424-1333
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1417111071
10306 ROOSEVELT AVE
Corona, NY 11368
(718) 424-1333
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1699127670
3781 JUNCTION BLVD
Corona, NY 11368
(718) 446-1333
✔ PECOS✔ Accepts Medicare0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kew Gardens Optometry, P.C.'s NPI number?

The NPI number for Kew Gardens Optometry, P.C. is 1477703577. It was assigned to this organization in the NPPES registry on September 25, 2008.

Where is Kew Gardens Optometry, P.C. located?

Kew Gardens Optometry, P.C. is located at 10304 Roosevelt Ave, Corona, NY 11368. The listed phone number is (718) 424-1333.

What is Kew Gardens Optometry, P.C.'s specialty?

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

Is Kew Gardens Optometry, P.C. enrolled in Medicare?

Yes. Kew Gardens Optometry, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kew Gardens Optometry, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Kew Gardens Optometry, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kew Gardens Optometry, P.C. was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.