JOSE RAUL CORDOVA OD
NPI 1649036401
Optometrist in New Hyde Park, NY

Q: What is Jose Cordova's NPI number?

The NPI number for Jose Cordova is 1649036401. It was assigned to this individual provider in the NPPES registry on February 27, 2024. The provider is also known as Jose Raul Cordova Cuevas.

Q: What is Jose Cordova's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Cordova was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since February 27, 2024PECOS Enrolled

1979 MARCUS AVE STE 206, NEW HYDE PARK, NY 11042(516) 243-8711 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2026, Sep 16, 2024 (2 updates tracked since 2024).

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About Jose Raul Cordova Od NPPES

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

JOSE RAUL CORDOVA OD (NPI 1649036401) is an individual optometrist in New Hyde Park, New York, licensed in New Hampshire (1100) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of International American University At Puerto Rico - School Of Optometry (2021).

NPPES Registry Identity

NPI1649036401

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJOSE RAUL CORDOVACredential: OD

Location Address1979 MARCUS AVE STE 206New Hyde Park, NY 11042-1002

Mailing Address16075 Nw 64th Ave Apt 108Miami Lakes, FL 33014-7529 · (786) 285-7557

Phone(516) 243-8711

Sole ProprietorYes

Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2021

Enumeration DateFebruary 27, 2024

Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1649036401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in NH · 1100✔ Licensed in NY · 009934✔ Licensed in FL · OPC6891

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.

1979 MARCUS AVE STE 206, New Hyde Park, NY 11042

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Other Names 1

Former Name (1)Jose Raul Cordova Cuevas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Raul Cordova Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143668525

PECOS Enrollment IDI20260320002126

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 11042 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAR OPTOMETRIC PC

Optometrist