Healthcare Provider Details

I. General information

NPI: 1225735202
Provider Name (Legal Business Name): SEHDEV OPTOMETRY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2023
Last Update Date: 12/31/2024
Certification Date: 12/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258-18 HILLSIDE AVE
GLEN OAKS NY
11004
US

IV. Provider business mailing address

258-08 HILLSIDE AVE
GLEN OAKS NY
11004
US

V. Phone/Fax

Practice location:
  • Phone: 718-470-2280
  • Fax: 718-470-2524
Mailing address:
  • Phone: 718-470-2280
  • Fax: 718-470-2524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. HARRY SEHDEV
Title or Position: PRESIDENT
Credential: OD
Phone: 516-830-5275