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

Mr. Abdelkader Mallouk, MD, OD

Individual provider Optometrist · NPI 1407949621

Mr. Abdelkader Mallouk, MD, OD is a Family Practice in Horseheads, New York. Graduated from New England College of Optometry in 1997, 29 years ago. Practices with Arnot Ogden Medical Center, a 217-clinician group and accepts Medicare assignment. Licensed in Florida, New York and Pennsylvania.

Years since qualifying
29
Trained at
New England College of Optometry
Licensed in
FL, NY, PA
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
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

100 John Roemmelt Dr Ste 302
Horseheads, NY 14845-8304
Phone: (607) 873-1810
Fax: (607) 562-3157
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 277295 (NY)
Optometrist Taxonomy 152W00000X · Licence OPC3141 (FL)
Optometrist Taxonomy 152W00000X · Licence T005983 (NY)
Optometrist Taxonomy 152W00000X · Licence OE8142 (PA)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence 277295 (NY)

Record details

NPI number1407949621
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , OD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022
Mailing address571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesADDICTION MEDICINE, OPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 1997 (29 years in practice)
Group practice Arnot Ogden Medical Center — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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