Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jose Raul Cordova, OD

Individual provider Optometrist · NPI 1649036401

Jose Raul Cordova, OD is an Optometry in New Hyde Park, New York. Graduated from International American University at Puerto Rico - School of Optometry in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Florida, New Hampshire and New York.

Years since qualifying
5
Trained at
International American University at Puerto Rico - School of Optometry
Licensed in
FL, NH, NY
In the registry since
2024
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1979 Marcus Ave Ste 206
New Hyde Park, NY 11042-1002
Phone: (516) 243-8711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1100 (NH)
Optometrist Taxonomy 152W00000X · Licence 009934 (NY)
Optometrist Taxonomy 152W00000X · Licence OPC6891 (FL)

Record details

NPI number1649036401
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedFebruary 27, 2024
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in New Hyde Park