Individual provider Active NPI

Monique Mohammed-Weeks, OD, MS

  • Optometrist
  • Bronx, NY
National Provider Identifier
1063002541
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009306 Issued in NY
Practice address
4487 3Rd Ave
Bronx, NY 10457-1526
Phone
(718) 960-9000
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009306 NY Primary

Addresses

Primary practice location

4487 3Rd Ave
Bronx, NY 10457-1526

Mailing address

4487 3Rd Ave
Dept of Ophthalmology
Bronx, NY 10457-1526
Phone (718) 960-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240207000570 NY Practitioner - Optometry 9133562143 Reassigns benefits to 2 organizations
I20251205001615 WI Practitioner - Optometry 9133562143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 960-6205

4487 3Rd Ave
Bronx, NY 10457-1526
Phone (718) 960-6392

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
009306NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc CurrentSince Jan 25, 2026 Accepting new patients
SBH Physicians, PC Optometrist CurrentSince Dec 13, 2023 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Oct 31, 2025 Accepting new patients
SBH Physicians, PC CurrentSince Dec 13, 2023 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Jan 25, 2026 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist CurrentSince Oct 31, 2025 Accepting new patients
Eyecrafters LLC Optometrist PastSince Apr 18, 2021 Accepting new patients
Daniel Rafaelov OD P.C. Optometrist PastSince Jan 1, 2021 Accepting new patients
Optical Shop of Deer Park Inc Optometrist PastSince Jun 1, 2021 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

1663 E Henrietta Rd
Rochester, NY 14623
Phone (585) 424-7000

2621 S Oneida St
Ste 104
Green Bay, WI 54304
Phone (920) 499-3511

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1063002541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4487 3RD AVE",
            "address_2": "DEPT OF OPHTHALMOLOGY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104571526",
            "telephone_number": "718-960-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4487 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104571526",
            "telephone_number": "718-960-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED-WEEKS",
        "first_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "OD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.