Provider Demographics
NPI:1467250472
Name:NAQVI, UM-E-RUBAB (OD)
Entity type:Individual
Prefix:DR
First Name:UM-E-RUBAB
Middle Name:
Last Name:NAQVI
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13536 OSPREYS VIEW PL
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-1353
Mailing Address - Country:US
Mailing Address - Phone:571-534-9929
Mailing Address - Fax:
Practice Address - Street 1:1979 MARCUS AVE STE 206
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1002
Practice Address - Country:US
Practice Address - Phone:571-534-9929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618003384152W00000X
DCOP2000571152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist